Individual provider Active NPI

Tiffany Annette Ivey, RN

  • Registered Nurse
  • Jamaica, NY
National Provider Identifier
1114883774
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
751755 Issued in NY
Practice address
12001 142ND St
Jamaica, NY 11436-1412
Phone
(718) 909-5838
NPI assigned
Dec 29, 2025
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193200000X MULTI-SPECIALTY GROUP 163WL0100X 751755 NY
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 751755 NY Primary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X
Pediatric Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0200X 751755 NY
Maternal Newborn Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WM0102X 751755 NY
Community Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC1500X 751755 NY
Reproductive Endocrinology/Infertility Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WR1000X 751755 NY
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X 751755 NY
Perinatal Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP1700X 751755 NY
Ambulatory Women's Health Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0101X 751755 NY
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X 751755 NY
Low-Risk Neonatal Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WN0003X 751755 NY
General Practice Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WG0000X 751755 NY
High-Risk Obstetric Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WX0002X 751755 NY
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
751755NYMDAmbulatory Women's Health Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Blueankh Registered Nurse CurrentSince Jan 4, 2026 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.

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.

Verify at the official NPI Registry.