Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiffany Danielle Fry

Individual provider Nurse Practitioner · NPI 1578200671

Tiffany Danielle Fry is a Nurse Practitioner in Coshocton, Ohio. Qualified in 2022, 4 years ago. Practices with Genesis Primary Care Physicians, LLC, a 45-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2022

Practice location Address checks out

440 Browns Ln
Coshocton, OH 43812-2044
Phone: (740) 891-9000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0031351 (OH)

Record details

NPI number1578200671
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2022
Last updated in NPPESMay 19, 2022
Certification dateMay 19, 2022
Mailing address440 Browns Ln, Coshocton, OH 43812-2044

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Genesis Primary Care Physicians, Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coshocton