Individual provider Active NPI

Tiffany Allen Hobbs, NP-C

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1932450756
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
16840 Issued in TN
Practice address
513 Georgia Ave
Chattanooga, TN 37403-3402
Phone
(423) 531-5555
Fax
(423) 531-6565
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X 150283 TN
Hospice Registered Nurse 163WH1000X 16840 TN
Nurse Practitioner 363L00000X 16840 TN Primary

Addresses

Primary practice location

513 Georgia Ave
Chattanooga, TN 37403-3402

Mailing address

513 Georgia Ave Ste 114
Chattanooga, TN 37403-3402
Phone (423) 531-5555

Other identifiers 1

IdentifierTypeStateIssuer
003109552AMedicaidTN

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

State licenses

LicenseStateTypeSpecialty
150283TNMDHospice Registered Nurse
16840TNMDHospice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hearth Hospice of Tennessee, LLC CurrentSince Apr 11, 2021 Accepting new patients

Locations

513 Georgia Ave
Chattanooga, TN 37403
Phone (423) 531-6555

513 Georgia Ave
Ste 114
Chattanooga, TN 37403

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1932450756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 GEORGIA AVE STE 114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033402",
            "telephone_number": "423-531-5555",
            "fax_number": "423-531-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 GEORGIA AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033402",
            "telephone_number": "423-531-5555",
            "fax_number": "423-531-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "TIFFANY",
        "middle_name": "ALLEN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "TN",
            "license": "150283",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "TN",
            "license": "16840",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "16840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003109552A",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.