Active NPI
Tiffany Annette Ivey, RN
- Registered Nurse
- Jamaica, NY
National Provider Identifier
1114883774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 751755
- Practice address
- 12001 142ND St
Jamaica, NY 11436-1412 - Phone
- (718) 909-5838
- NPI assigned
- Dec 29, 2025
- Last updated
- Dec 29, 2025
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 751755 | NY | |
| Registered Nurse | 163W00000X | 751755 | NY | Primary |
| Doula | 374J00000X | |||
| Pediatric Registered Nurse | 163WP0200X | 751755 | NY | |
| Maternal Newborn Registered Nurse | 163WM0102X | 751755 | NY | |
| Community Health Registered Nurse | 163WC1500X | 751755 | NY | |
| Reproductive Endocrinology/Infertility Registered Nurse | 163WR1000X | 751755 | NY | |
| Wound Care Registered Nurse | 163WW0000X | 751755 | NY | |
| Perinatal Registered Nurse | 163WP1700X | 751755 | NY | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 751755 | NY | |
| Home Health Registered Nurse | 163WH0200X | 751755 | NY | |
| Low-Risk Neonatal Registered Nurse | 163WN0003X | 751755 | NY | |
| General Practice Registered Nurse | 163WG0000X | 751755 | NY | |
| High-Risk Obstetric Registered Nurse | 163WX0002X | 751755 | NY | |
| Diabetes Educator Registered Nurse | 163WD0400X | 751755 | NY |
Addresses
Primary practice location
12001 142ND St
Jamaica, NY 11436-1412
Mailing address
12001 142ND St
Jamaica, NY 11436-1412
Phone (718) 909-5838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 751755 | NY | MD | Ambulatory Women's Health Care Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blueankh | Registered Nurse | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Nurse
- Jamaica, NY
- NPI 1841156403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1114883774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12001 142ND ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114361412",
"telephone_number": "718-909-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12001 142ND ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114361412",
"telephone_number": "718-909-5838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "TIFFANY",
"middle_name": "ANNETTE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-29",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Lactation Consultant",
"state": "NY",
"license": "751755",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "NY",
"license": "751755",
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Pediatrics",
"state": "NY",
"license": "751755",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Maternal Newborn",
"state": "NY",
"license": "751755",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Community Health",
"state": "NY",
"license": "751755",
"primary": false
},
{
"code": "163WR1000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Reproductive Endocrinology/Infertility",
"state": "NY",
"license": "751755",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": "NY",
"license": "751755",
"primary": false
},
{
"code": "163WP1700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Perinatal",
"state": "NY",
"license": "751755",
"primary": false
},
{
"code": "163WW0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "NY",
"license": "751755",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "751755",
"primary": false
},
{
"code": "163WN0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Neonatal, Low-Risk",
"state": "NY",
"license": "751755",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, General Practice",
"state": "NY",
"license": "751755",
"primary": false
},
{
"code": "163WX0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Obstetric, High-Risk",
"state": "NY",
"license": "751755",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NY",
"license": "751755",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.