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NPI · 1639719230 · NPPES-sourced

Mrs. Tiffany Tate-Woodard Agnp

ActiveGerontology Nurse Practitioner
NPI Number
1639719230
Type 1 · Individual
Taxonomy Code
363LG0600X
Contact
(618) 318-8809
License IL · 209.026757
Last Updated
Enumerated
Primary practice addressIL · 62205-2321
2420 State StEast Saint Louis, IL 62205-2321
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About this NPIWhat this record shows.

NPI 1639719230 is registered to Mrs. Tiffany Tate-Woodard Agnp, a Gerontology Nurse Practitioner practising at 2420 State St in East Saint Louis, Illinois. Gerontology Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mrs. Tiffany Tate-Woodard Agnp has been enumerated in the National Provider Identifier (NPI) registry since 2020.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mrs. Tiffany Tate-Woodard Agnp accepts. To confirm in-network status with your specific health plan, contact Mrs. Tiffany Tate-Woodard Agnp directly at (618) 318-8809.

Frequently asked

Yes. NPI 1639719230 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Gerontology Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (618) 318-8809.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mrs. Tiffany Tate-Woodard Agnp is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LG0600X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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2 records · same addressOther providers at this location.

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Same specialtyOther Gerontology Nurse Practitioner providers in Illinois.

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