Tiffin Marie Zellers, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

60817 Issued in NM

Practice address

1308 N Orchard
Espanola, NM 87532-3232

Phone

(505) 927-0157

Fax

(855) 928-4040

NPI assigned

Oct 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Dawn Psychiatric Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Espanola, NM
  • NPI 1619600236
  NPD Authorized official
• North Star Psychiatric Services LLC

  • Psychologist
  • Los Alamos, NM
  • NPI 1245945716
  NPD (past)
• North Star Psychiatric Services, LLC

  • Child & Adolescent Psychiatry Physician
  • Los Alamos, NM
  • NPI 1316391063
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662163200000",
    "number": "1205433802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 N ORCHARD",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323232",
            "telephone_number": "505-927-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 N ORCHARD",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323232",
            "telephone_number": "505-927-0157",
            "fax_number": "855-928-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLERS",
        "first_name": "TIFFIN",
        "middle_name": "MARIE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2022-09-03",
        "certification_date": "2022-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "60817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubriana Young
• Bethany Young
• Bertha Youngblood
• Jacqueline Andrea Zamora Alvarado
• Floyd Zamora, CSW PSR
• Michael Joseph Zengerle

• Psychiatric/Mental Health Nurse Practitioner in Espanola, NM
• Providers in Espanola, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2022; 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.