TIFFANY ALLEN-ZUNUM (NP-C) – Family Nurse Practitioner, NPI 1922434489
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TIFFANY ALLEN-ZUNUM (NP-C)
308 CALLAHAN RD
SUITE 104
NORTH KINGSTOWN, RI 028527739
Phone: (401) 295-9706
Fax: (401) 295-0920
Type: Mailing
360 KINGSTOWN RD
SUITE 104
NARRAGANSETT, RI 028823239
Phone: (401) 789-1086
Fax: (401) 789-5344
Type: Location
255 HEMPSTEAD ST
NEW LONDON, CT 063206290
Phone: (860) 437-4550
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140303001257 | I | Nurse Practitioner | RI | TBD |
| I20220815002026 | I | Nurse Practitioner | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02852)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT | |
| - | RI | |
| Nurse Practitioner | RI | |
| Family Practice | RI | |
| Nurse Practitioner | RI | |
| Clinical Psychologist | RI | |
| - | RI | |
| Nurse Practitioner | RI | |
| Clinical Psychologist | RI | |
| Nurse Practitioner | MD |
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