Active NPI
Tiffany Stevens, FNP-C
- Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1245745017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 52610
- Practice address
- 2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-3823 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Dec 2, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Health Registered Nurse | 163WX0106X | 8184725-3102 | UT | |
| Family Nurse Practitioner | 363LF0000X | 8184725-4405 | UT | |
| Nurse Practitioner | 363L00000X | 52610 | CA | Primary |
Addresses
Primary practice location
2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-3823
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- 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 |
|---|---|---|---|---|
| I20200303002885 | UT | Practitioner - Nurse Practitioner | 1355778309 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52610 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Family Medical | Current | Accepting new patients | |
| Premier Family Medical - Eagle Mountain | Current | Accepting new patients |
Locations
275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333
830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Eagle Mountain, UT
- NPI 1043762479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1245745017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 EMBARCADERO CTR LBBY LEVEL",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113823",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "TIFFANY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-02",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0106X",
"taxonomy_group": "",
"desc": "Registered Nurse, Occupational Health",
"state": "UT",
"license": "8184725-3102",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "8184725-4405",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "52610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.