Tiffany Coggins, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Shelbyville, TN
NPI 1972932200 · NPPES record last updated May 29, 2014
Key facts
- NPI
- 1972932200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN0000018060 (TN)
- Practice address
- 1612 N Main St Ste B
Shelbyville, TN 37160-2392 - Phone
- (931) 685-2022
- Fax
- (931) 685-4158
- NPI assigned
- Nov 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20170929000345 | TN | Practitioner - Nurse Practitioner | 5395974737 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000018060 | TN | MD | Family Nurse Practitioner |
Interoperability endpoints
- tiffany.coggins.1@3755.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000018060 | TN | Yes |
Addresses
Primary practice location
1612 N Main St Ste B
Shelbyville, TN 37160-2392
Mailing address
1612 N Main St Ste B
Shelbyville, TN 37160-2392
Phone (931) 685-2022
Other providers in Shelbyville, TN
- Clements Dental PLLC
- Tara Amanda Clements
- Kelly Clifford
- Olivia Clifton
- Kirston Clinton
- Dustin Tait Coker
- Robert James Colasso
- George H. Collins
- Community Clinic Shelbyville and Bedford Co.Inc.,
- Stephanie Ann Cook
All providers in Shelbyville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2014. 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.