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

Tiffany Nicole Smith, NP

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336911171

Tiffany Nicole Smith, NP is a Nurse Practitioner in Lagrange, Indiana. Qualified in 2022, 4 years ago. Practices with Northeast Internal Medicine Associates, PC, a 53-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2500 N Detroit St
Lagrange, IN 46761-1158
Phone: (260) 463-2133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 610 N Sawyer Rd, Kendallville, IN 46755-2566 — (260) 347-5592

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71014665A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336911171
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 25, 2023
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024

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 Northeast Internal Medicine Associates, Pc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lagrange