Active NPI
Tiffanie Joy Bailey, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1013776889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP030479
- Practice address
- 3400 Spruce St
Philadelphia, PA 19104-4384 - Phone
- (215) 316-5151
- NPI assigned
- Mar 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN696852 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP030479 | PA | Primary |
| Registered Nurse | 163W00000X | 26NR19493800 | NJ |
Addresses
Primary practice location
3400 Spruce St
Philadelphia, PA 19104-4384
Mailing address
3011 Evergreen Walk
Philadelphia, PA 19125-4384
Phone (856) 979-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260518001548 | NJ | Practitioner - Nurse Practitioner | 2062981277 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
301 Lippincott Dr
Marlton, NJ 08053-4178
303 Lippincott Dr
Suite 200
Marlton, NJ 08053-4160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR19493800 | NJ | MD | Registered Nurse |
| RN696852 | PA | MD | Registered Nurse |
| SP030479 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1013776889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 EVERGREEN WALK",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191254384",
"telephone_number": "856-979-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044384",
"telephone_number": "215-316-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "TIFFANIE",
"middle_name": "JOY",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-15",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN696852",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP030479",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR19493800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.