Individual provider Active NPI

Tiffany Nicole Guerrieri, NP-C

  • Nurse Practitioner
  • Mount Juliet, TN
National Provider Identifier
1851919062
Registry record updated Dec 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
27783 Issued in TN
Practice address
3500 N Mount Juliet Rd Ste 201
Mt Juliet, TN 37122-3059
Phone
(615) 758-5672
NPI assigned
Jul 14, 2020
Last updated
Dec 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 27783 TN Primary

Addresses

Primary practice location

3500 N Mount Juliet Rd Ste 201
Mt Juliet, TN 37122-3059

Mailing address

3500 N Mount Juliet Rd Ste 201
Mt Juliet, TN 37122-3059
Phone (615) 758-5672

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL email.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210316002175 TN Practitioner - Nurse Practitioner 7810303815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27783TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 7, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 7, 2022 Accepting new patients
West Wilson Family Practice Center, P.C. CurrentSince Mar 11, 2021 Accepting new patients

Locations

1128 N Castle Heights Ave
Lebanon, TN 37087
Phone (423) 352-4381

3500 N Mount Juliet Rd
Ste 201
Mt Juliet, TN 37122
Phone (615) 758-5672

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1478

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1851919062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N MOUNT JULIET RD STE 201",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223059",
            "telephone_number": "615-758-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N MOUNT JULIET RD STE 201",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223059",
            "telephone_number": "615-758-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRIERI",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "27783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email/mail",
            "address_1": "713 Lance Way",
            "city": "MT Juliet",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371227505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.