Active NPI
Tiffany Davis
- Home Health Registered Nurse
- Van Buren, AR
National Provider Identifier
1932012648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- R095311
- Practice address
- 117 Northridge Dr E Ste C
Van Buren, AR 72956-6983 - Phone
- (479) 474-4892
- NPI assigned
- Sep 24, 2026
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | R095311 | AR | Primary |
Addresses
Primary practice location
117 Northridge Dr E Ste C
Van Buren, AR 72956-6983
Mailing address
117 Northridge Dr E Ste C
Van Buren, AR 72956-6983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1932012648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 NORTHRIDGE DR E STE C",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729566983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 NORTHRIDGE DR E STE C",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729566983",
"telephone_number": "479-474-4892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "AR",
"license": "R095311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.