Individual provider Active NPI

Tiffany Wynohradnyk, NP

  • Adult Health Nurse Practitioner
  • Seminole, FL
National Provider Identifier
1891192704
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0991132-NP Issued in CO
Practice address
9291 Merrimoor Blvd
Seminole, FL 33777-3029
Phone
(623) 203-1976
NPI assigned
Nov 21, 2014
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN.0991132-NP CO Primary

Addresses

Primary practice location

9291 Merrimoor Blvd
Seminole, FL 33777-3029

Mailing address

9291 Merrimoor Blvd
Seminole, FL 33777-3029
Phone (623) 203-1976

Other names 1

  • Tiffany Mikesell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250107001632 FL Practitioner - Nurse Practitioner 7416274691 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0991132-NPCOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Health Medical FL PA CurrentSince Jan 2, 2025 Accepting new patients
The Right Remedy LLC CurrentSince Dec 12, 2024 Accepting new patients
Transitions Home Health Care, Inc PastSince Nov 20, 2017 Accepting new patients

Locations

5300 W 16th Ave
Hialeah, FL 33012
Phone (305) 290-3801

407 Willoughby Ave
Brooklyn, NY 11205

Interoperability endpoints

  • Direct secure messaging: tiffany.wynohradnyk.p45@direct.ipn.nextgenshare.com

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": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1891192704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9291 MERRIMOOR BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337773029",
            "telephone_number": "623-203-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 MERRIMOOR BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337773029",
            "telephone_number": "623-203-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNOHRADNYK",
        "first_name": "TIFFANY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0991132-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "MIKESELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.