IndividualActive
Tiffany Brackus, FNP
NPI 1194336339 · Family Nurse Practitioner · Nampa, ID
Provider details
- NPI number
- 1194336339
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- TEMP65467 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
207 1st St S
Nampa, ID 83651-3703
Phone: (208) 466-7869
Fax: (208) 466-0009
Street-level locationGet directions
Mailing address
Po Box 9
Nampa, ID 83653-0009
Additional practice locations (2)
- 223 16th Ave NNampa, ID 83687-4058Phone: (208) 467-7654Fax: (208) 466-5359
- 790 E 5th StCoquille, OR 97423-1755Phone: (541) 396-3111Fax: (541) 396-5891
Registry dates
- Enumerated
- 2020-08-12
- Last updated
- 2023-08-28
- Certified
- 2023-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.