Individual provider Active NPI

Tina Gifford, APRN

  • Family Nurse Practitioner
  • Maysville, KY
National Provider Identifier
1801417282
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014588 Issued in KY
Practice address
2003 Old Main St
Maysville, KY 41056-8928
Phone
(606) 759-7878
NPI assigned
Apr 27, 2020
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3014588 KY Primary

Addresses

Primary practice location

2003 Old Main St
Maysville, KY 41056-8928

Mailing address

2003 Old Main St
Maysville, KY 41056-8928
Phone (606) 759-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116002968 KY Practitioner - Nurse Practitioner 6406274976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Primary Care and Aesthetics PLLCGroup PAC ID 2961931803, 3 clinicians

Practice addresses (Care Compare)

2003 Old Main St
Maysville, KY 41056-8928
Phone (606) 759-7878

2003 Old Main Strett
Maysville, KY 41056-8928

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Primary Care & Aesthetics, PLLC Family CurrentSince Dec 1, 2024 Accepting new patients

Locations

2003 Old Main St
Maysville, KY 41056
Phone (606) 759-7878

Interoperability endpoints

  • Direct secure messaging: tina.gifford.2@34141.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1801417282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 OLD MAIN ST",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568928",
            "telephone_number": "606-759-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 OLD MAIN ST",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568928",
            "telephone_number": "606-759-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "TINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

Verify at the official NPI Registry.