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

Tiffany Johnson Beath, FNP-C

Individual provider Nurse Practitioner · NPI 1730830746

Tiffany Johnson Beath, FNP-C is a Nurse Practitioner in Boise, Idaho. Qualified in 2021, 5 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

125 E Idaho St Ste 100
Boise, ID 83712-6202
Phone: (208) 338-0148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3140 W Milano Dr Ste 150, Meridian, ID 83646-7202 — (208) 887-4775

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 70832 (ID)

Record details

NPI number1730830746
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 11, 2022
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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