Individual provider Active NPI

Tiffany Coggins, FNP-C

  • Family Nurse Practitioner
  • Shelbyville, TN
National Provider Identifier
1972932200
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000018060 Issued in 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
Last updated
May 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2014

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 APN0000018060 TN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20170929000345 TN Practitioner - Nurse Practitioner 5395974737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000018060TNMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tiffany.coggins.1@3755.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1972932200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 N MAIN ST STE B",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602392",
            "telephone_number": "931-685-2022",
            "fax_number": "931-685-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 N MAIN ST STE B",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602392",
            "telephone_number": "931-685-2022",
            "fax_number": "931-685-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGGINS",
        "first_name": "TIFFANY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000018060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, TN

Sources for this page

Verify at the official NPI Registry.