Individual provider Active NPI

Tiffany Williams, FNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1902288848
Registry record updated Feb 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-097488 Issued in AL
Practice address
2231 Trenton Dr
Tuscaloosa, AL 35406-1622
Phone
(205) 657-0711
Fax
(205) 657-0711
NPI assigned
Jun 27, 2015
Last updated
Feb 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2024

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 1-097488 AL Primary

Addresses

Primary practice location

2231 Trenton Dr
Tuscaloosa, AL 35406-1622

Mailing address

PO Box 1962
Tuscaloosa, AL 35403-1962
Phone (205) 657-0711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20150813009553 AL Practitioner - Nurse Practitioner 1052626595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Sweet Home Primary Care LLCGroup PAC ID 6709239155, 2 clinicians

Practice addresses (Care Compare)

2231 Trenton Dr
Tuscaloosa, AL 35406-1622
Phone (205) 657-0711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-097488ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Home Primary Care, LLC CurrentSince Nov 1, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1902288848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1962",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354031962",
            "telephone_number": "205-657-0711",
            "fax_number": "205-270-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 TRENTON DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061622",
            "telephone_number": "205-657-0711",
            "fax_number": "205-657-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TIFFANY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-27",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-097488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.