NPIMap

Individual provider Active NPI

Tiffany Iva Cashdollar, CRNP

  • Family Nurse Practitioner
  • Kittanning, PA
National Provider Identifier
1992562151
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029391 Issued in PA
Practice address
300 Medical Arts BLDG Ste 300
Kittanning, PA 16201-7129
Phone
(724) 545-1288
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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 SP029391 PA Primary

Addresses

Primary practice location

300 Medical Arts BLDG Ste 300
Kittanning, PA 16201-7129

Mailing address

133 Sportsman Rd
Kittanning, PA 16201-4555
Phone (724) 954-4416

Other practice location 1

133 Sportsman Rd
Kittanning, PA 16201-4555
Phone (724) 954-4416

Other names 1

  • Tiffany Iva Waltenbaugh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708002596 PA Practitioner - Nurse Practitioner 1557806155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Armstrong County Memorial HospitalGroup PAC ID 9335051663, 48 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

300 Medical Arts BLDG
Suite 300
Kittanning, PA 16201-7129
Phone (724) 545-1288

Hospital & facility affiliations

  • Acmh Hospital Hospital, Kittanning, PA, CCN 390163

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Armstrong County Memorial Hospital Current Accepting new patients
Armstrong County Memorial Hospital CurrentSince Apr 1, 2024 Accepting new patients
Armstrong County Memorial Hospital CurrentSince Apr 1, 2024 Accepting new patients
Armstrong County Memorial Hospital Past Accepting new patients

Locations

300 Medical Arts Bldg
#300
Kittanning, PA 16201
Phone (724) 543-8784

1 Nolte Dr
Ste 120
Kittanning, PA 16201
Phone (724) 543-8164

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

116 Main St
Leechburg, PA 15656
Phone (724) 845-1211

Interoperability endpoints

  • Direct secure messaging: tiffany.cashdollar@1ah.eclinicaldirectplus.com

Organizations & group practices 4

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 7

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": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1992562151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 SPORTSMAN RD",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162014555",
            "telephone_number": "724-954-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL ARTS BLDG STE 300",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017129",
            "telephone_number": "724-545-1288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Sportsman Rd",
            "address_purpose": "LOCATION",
            "city": "Kittanning",
            "state": "PA",
            "postal_code": "162014555",
            "country_code": "US",
            "telephone_number": "724-954-4416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASHDOLLAR",
        "first_name": "TIFFANY",
        "middle_name": "IVA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WALTENBAUGH",
            "middle_name": "IVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.