Individual provider Active NPI

Tiffany Marie Townsend, FNP-BC

  • Family Nurse Practitioner
  • West Haven, CT
National Provider Identifier
1023614294
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345510 Issued in NY
Practice address
655 Sawmill Rd Ste 4
West Haven, CT 06516-3964
Phone
(203) 535-0391
Fax
(877) 427-6184
NPI assigned
Dec 11, 2020
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345510 NY Primary

Addresses

Primary practice location

655 Sawmill Rd Ste 4
West Haven, CT 06516-3964

Mailing address

655 Sawmill Rd Ste 4
West Haven, CT 06516-3964
Phone (203) 535-0391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230427001551 CT Practitioner - Nurse Practitioner 4880059740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
345510NYMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1023614294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SAWMILL RD STE 4",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163964",
            "telephone_number": "203-535-0391",
            "fax_number": "877-427-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SAWMILL RD STE 4",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163964",
            "telephone_number": "203-535-0391",
            "fax_number": "877-427-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.