Tiffany Shelton

Individual provider Neonatal Nurse Practitioner · NPI 1780002980

Tiffany Shelton is a Nurse Practitioner in Nampa, Idaho. Qualified in 2013, 13 years ago. Practices with Fast Pace Kentucky, PLLC, a 216-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Idaho, Indiana, Kentucky and Oregon.

Years since qualifying: 13
Licensed in: ID, IN, KY, OR
In the registry since: 2014
Specialties on file: 5

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Practice location Address checks out

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone: (208) 302-4600
Fax: (208) 302-4655

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

Additional practice locations (5)

1740 Nicholasville Rd, Lexington, KY 40503-1431 — (859) 260-6100
4123 Dutchmans Lane, Louisville, KY 40207-4721 — (502) 896-2500
5600 Jeanine Dr, Louisville, KY 40219-1051 — (502) 550-3078
10490 Shelbyville Rd, Louisville, KY 40223-3120 — (502) 245-8853
351 Sw 9th St, Ontario, OR 97914-2639 — (541) 881-7184

Specialties & licences

Neonatal Nurse Practitioner (primary)	Taxonomy 363LN0000X · Licence 1371469 (ID)
Neonatal Nurse Practitioner	Taxonomy 363LN0000X · Licence 3008369 (KY)
Family Nurse Practitioner	Taxonomy 363LF0000X · Licence 3008369 (KY)
Family Nurse Practitioner	Taxonomy 363LF0000X · Licence 71004874A (IN)
Neonatal Nurse Practitioner	Taxonomy 363LN0000X · Licence 10045180 (OR)

Record details

NPI number	1780002980
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	April 3, 2014
Last updated in NPPES	September 19, 2025
Certification date	September 19, 2025
Mailing address	5600 Jeanine Dr, Louisville, KY 40219-1051

Medicare enrollment

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

Medicare specialty	NURSE PRACTITIONER
Medical school	OTHER
Graduated	2013 (13 years in practice)
Group practice	Fast Pace Kentucky, Pllc — 216 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	3 on file with Medicare