NPIMap

Individual provider Active NPI

Tiffany Ogden, APRN, FNP-C

  • Family Nurse Practitioner
  • Moore, OK
National Provider Identifier
1871958009
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95895 Issued in OK
Practice address
1109 SW 30TH CT Ste a
Moore, OK 73160-2887
Phone
(405) 703-0937
Fax
(888) 290-8567
NPI assigned
Dec 14, 2015
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 95895 OK Primary

Addresses

Primary practice location

1109 SW 30TH CT Ste a
Moore, OK 73160-2887

Mailing address

3116 Castle Creek Dr
Newcastle, OK 73065-6141
Phone (405) 408-6080

Other practice location 1

15132 Traditions Blvd
Edmond, OK 73013-1182
Phone (405) 703-0937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160422002074 OK Practitioner - Nurse Practitioner 5193024271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jeffrey Miller MD PLLCGroup PAC ID 0244525863, 7 clinicians

Practice addresses (Care Compare)

1109 SW 30TH CT
Suite a
Moore, OK 73160-2887
Phone 40570309372

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95895OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Miller, MD PLLC CurrentSince Feb 1, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Lsi Houston, PA Past Accepting new patients

Locations

15132 Traditions Blvd
Edmond, OK 73013
Phone 4057030937 ext. 3

1109 SW 30th Ct
#A
Moore, OK 73160
Phone (405) 703-0937

1000 N Lincoln Blvd
Ste 150
Oklahoma City, OK 73104
Phone (405) 232-8696

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGDIBD
  • Direct secure messaging: tiffany.ogden.p11@direct.okc.nextgenshare.com

Organizations & group practices 4

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 5

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": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1871958009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 CASTLE CREEK DR",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730656141",
            "telephone_number": "405-408-6080",
            "fax_number": "888-678-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 SW 30TH CT STE A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602887",
            "telephone_number": "405-703-0937",
            "fax_number": "888-290-8567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15132 Traditions Blvd",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730131182",
            "country_code": "US",
            "telephone_number": "405-703-0937",
            "fax_number": "888-290-8567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGDEN",
        "first_name": "TIFFANY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "95895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.