Active NPI
Tiffany Rader, MSN RN AGCNS-BC
- Acute Care Clinical Nurse Specialist
- Indianapolis, IN
National Provider Identifier
1861057176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Clinical Nurse Specialist
- License
- 28187282A
- Practice address
- 1701 N Senate Ave
Indianapolis, IN 46202-5306 - Phone
- (317) 962-2376
- NPI assigned
- May 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | 28187282A | IN | Primary |
Addresses
Primary practice location
1701 N Senate Ave
Indianapolis, IN 46202-5306
Mailing address
8270 E County Road 300 N
Brownsburg, IN 46112-9385
Phone (317) 402-8912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28187282A | IN | MD | Acute Care Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1861057176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8270 E COUNTY ROAD 300 N",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461129385",
"telephone_number": "317-402-8912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N SENATE AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025306",
"telephone_number": "317-962-2376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADER",
"first_name": "TIFFANY",
"credential": "MSN RN AGCNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "IN",
"license": "28187282A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.