Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tiffany Gladys Dirickson-Ford, CRNP

Individual provider Family Nurse Practitioner · NPI 1306472717

Tiffany Gladys Dirickson-Ford, CRNP is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2019, 7 years ago. Practices with Revolution Medicine Health and Fitness PLLC, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia and Maryland.

Years since qualifying
7
Licensed in
DC, MD
In the registry since
2020
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304
Phone: (202) 596-8891
Fax: (833) 941-2357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP500016115 (DC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F0819091 (MD)

Record details

NPI number1306472717
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 17, 2020
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Revolution Medicine Health And Fitness Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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