Individual provider Active NPI

Tiffany Lynne Blaz, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1942721741
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LE-00007861 Issued in OH
Practice address
2800 Maple Ave
Zanesville, OH 43701-1716
Phone
(740) 454-4585
NPI assigned
Jun 30, 2017
Last updated
Jun 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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 LE-00007861 OH Primary

Addresses

Primary practice location

2800 Maple Ave
Zanesville, OH 43701-1716

Mailing address

2800 Maple Ave
Zanesville, OH 43701-1716
Phone (740) 454-4585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170822000476 OH Practitioner - Nurse Practitioner 9133491418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group of Southeastern Ohio IncGroup PAC ID 8628232469, 61 clinicians
Muskingum Valley Health CentersGroup PAC ID 4789760216, 74 clinicians

Practice addresses (Care Compare)

3620 Court Dr
Suite K
Zanesville, OH 43701-6455
Phone (740) 454-1248

859 N Main St
Malta, OH 43758-9007
Phone (740) 962-6111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
LE-00007861OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum Valley Health Centers Current Accepting new patients
Physicians Group of Southeastern Ohio Inc CurrentSince Oct 1, 2024 Accepting new patients
Medical Home Primary Care Center Current Accepting new patients
Muskingum Valley Health Centers CurrentSince Sep 23, 2019 Accepting new patients
Muskingum Valley Health Centers CurrentSince Sep 23, 2019 Accepting new patients
Genesis Medical Group LLC PastSince Aug 6, 2017 Accepting new patients

Locations

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

1515 Maple Dr
Cambridge, OH 43725
Phone (740) 439-3515

316 Clark St
Cambridge, OH 43725
Phone (740) 432-7600

1205 Cambridge Rd
#100
Coshocton, OH 43812
Phone (740) 622-9433

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

440 Browns Ln
Coshocton, OH 43812
Phone (740) 295-3331

450 Downtowner Plz
Coshocton, OH 43812
Phone (740) 487-3110

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

2725 Pinkerton Ln
Zanesville, OH 43701
Phone (740) 487-3348

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

915 Putnam Ave
Zanesville, OH 43701
Phone (407) 891-9000

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 4

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1942721741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011716",
            "telephone_number": "740-454-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011716",
            "telephone_number": "740-454-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZ",
        "first_name": "TIFFANY",
        "middle_name": "LYNNE",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "LE-00007861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.