Tiffany Hommes, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0382922-22 Issued in MN

Practice address

24760 Hospital Dr
Red Lake, MN 56671

Phone

(218) 679-3316

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1942216668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11795 E MOVIL LAKE RD NE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566018116",
            "telephone_number": "218-444-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24760 HOSPITAL DR",
            "city": "RED LAKE",
            "state": "MN",
            "postal_code": "56671",
            "telephone_number": "218-679-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMMES",
        "first_name": "TIFFANY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 141209-5",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "0382922-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Gustafson
• Athena Hagan, PHARMD
• Kristin Renee' Hamlin-Passes, APRN,BC
• Howard J. Heisler, O.D.
• Jenny Belle Hollis, L.I.C.S.W.
• Amanda Lee Hood
• Roseline Ngozi Ihim, M.D
• Independent School District #38
• Independent School District #38
• Peter Wright Jaeger, PHARM.D.

• Family Nurse Practitioner in Red Lake, MN
• Providers in Red Lake, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.