Tiffany Brumley, APRN – Family Nurse Practitioner

Key facts

NPI: 1962882902
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: A004419 (AR)
Practice address: 2901 Medical Center Dr
Pocahontas, AR 72455-9438
Phone: (870) 892-4467
Fax: (870) 892-4407
NPI assigned: Jun 4, 2015
Sex: Female
Sole proprietor: Yes

Organizations & group practices 2

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.

Pocahontas Medical Clinic PA Family Medicine Physician · Pocahontas, AR · NPI 1508855305

Medicare reassignment NPD AR
Pocahontas Medical Clinic PA Family Medicine Physician · Corning, AR · NPI 1326781816

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AR
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20150904001688	AR	Practitioner - Nurse Practitioner	3779899711	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Pocahontas Medical Clinic PA		Current since Jun 6, 2015	Accepting new patients
Pocahontas Medical Clinic PA		Current since Jun 6, 2015	Accepting new patients

Locations

2901 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-4467

1601 Market Dr
Pocahontas, AR 72455
Phone (870) 892-4467

2901 Medical Center Dr
Ste 500
Pocahontas, AR 72455
Phone (870) 892-4467

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	A004419	AR	Yes

Addresses

Primary practice location

2901 Medical Center Dr
Pocahontas, AR 72455-9438

Mailing address

2901 Medical Center Dr
Pocahontas, AR 72455-9438
Phone (870) 892-4467

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 31, 2022.

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1962882902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559438",
            "telephone_number": "870-892-4467",
            "fax_number": "870-892-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559438",
            "telephone_number": "870-892-4467",
            "fax_number": "870-892-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMLEY",
        "first_name": "TIFFANY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

All providers in Pocahontas, AR · Family Nurse Practitioner in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.