Active NPI
Tina Gifford, APRN
- Family Nurse Practitioner
- Maysville, KY
National Provider Identifier
1801417282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3014588
- Practice address
- 2003 Old Main St
Maysville, KY 41056-8928 - Phone
- (606) 759-7878
- NPI assigned
- Apr 27, 2020
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Maysville, KY
- NPI 1821135518
Hospital
-
- Rural Acute Care Hospital
- Maysville, KY
- NPI 1881785863
Hospital
-
- Home Health Agency
- Florence, KY
- NPI 1003085747
-
- Home Health Agency
- Florence, KY
- NPI 1033189345
-
- Home Health Agency
- Florence, KY
- NPI 1194994848
-
- Home Health Agency
- Florence, KY
- NPI 1376712018
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 PLLC
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
- Personal Touch Home Care of Ky, Inc.
- Meadowview Regional Medical Center
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231116002968 | KY | Practitioner - Nurse Practitioner | 6406274976 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Primary Care & Aesthetics, PLLC | Family | Current | Accepting new patients |
Locations
2003 Old Main St
Maysville, KY 41056
Phone (606) 759-7878
Interoperability endpoints
- tina.gifford.2@34141.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3014588 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2003 Old Main St
Maysville, KY 41056-8928
Mailing address
2003 Old Main St
Maysville, KY 41056-8928
Phone (606) 759-7878
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3014588 | Other | KY | KENTUCKY APRN LICENSE |
| 0415042 | Medicaid | OH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 4, 2025.
{
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY APRN LICENSE",
"identifier": "3014588",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0415042",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maysville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.