Individual provider Active NPI

Tiffany Nacole Brown, FNP-C

  • Family Nurse Practitioner
  • San Marcos, TX
National Provider Identifier
1952129561
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1174761 Issued in TX
Practice address
1301 Wonder World Dr
San Marcos, TX 78666-7533
Phone
(512) 353-8979
NPI assigned
Oct 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 1174761 TX Primary

Addresses

Primary practice location

1301 Wonder World Dr
San Marcos, TX 78666-7533

Mailing address

5224 75TH St Ste D
Lubbock, TX 79424-2525
Phone (806) 712-1096

Other practice location 1

111 Coyote Bnd Unit I
Seguin, TX 78155-7970
Phone (830) 800-1159

Other practice location 2

598 N Union Ave
New Braunfels, TX 78130-4136
Phone (830) 606-9111

Other names 1

  • Tiffany Nacole Cullen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241112004225 TX Practitioner - Nurse Practitioner 9335673441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5224 75TH St
Suite D
Lubbock, TX 79424-2523

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Healthcare Services LLC Family CurrentSince Oct 18, 2024 Accepting new patients

Locations

3348 Peden Rd
Ste 401
Fort Worth, TX 76179
Phone (817) 488-6369

512 W Bonds Ranch Rd
Ste 150
Fort Worth, TX 76131
Phone (817) 488-6369

7800 Oakmont Blvd
Ft Worth, TX 76132
Phone (817) 279-0225

1305 Wonder World Dr
Ste 101
San Marcos, TX 78666
Phone (512) 353-6430

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.

Hospital & facility affiliations 2

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": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1952129561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 75TH ST STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242525",
            "telephone_number": "806-712-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WONDER WORLD DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667533",
            "telephone_number": "512-353-8979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Coyote Bnd Unit I",
            "address_purpose": "LOCATION",
            "city": "Seguin",
            "state": "TX",
            "postal_code": "781557970",
            "country_code": "US",
            "telephone_number": "830-800-1159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "598 N Union Ave",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781304136",
            "country_code": "US",
            "telephone_number": "830-606-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TIFFANY",
        "middle_name": "NACOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1174761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "CULLEN",
            "middle_name": "NACOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.