Individual provider Active NPI

Tiffany Green, NP

  • Family Nurse Practitioner
  • Pasadena, CA
National Provider Identifier
1245947183
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021312 Issued in CA
Practice address
10 Congress St Ste 208
Pasadena, CA 91105-3027
Phone
(626) 792-2166
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 95097882 CA
Family Nurse Practitioner 363LF0000X 95021312 CA Primary

Addresses

Primary practice location

10 Congress St Ste 208
Pasadena, CA 91105-3027

Mailing address

10 Congress St Ste 208
Pasadena, CA 91105-3027
Phone (626) 792-2166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230111001339 CA Practitioner - Nurse Practitioner 7911377817 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95021312CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Huntington Medical Foundation CurrentSince Jan 1, 2023 Accepting new patients
Huntington Medical Foundation Past Accepting new patients

Locations

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

10 Congress St
Ste 208
Pasadena, CA 91105
Phone (626) 792-2166

Interoperability endpoints

  • Direct secure messaging: tgreen438941@direct.cshs.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Huntington Medical Foundation 46 clinicians

Practice addresses (Care Compare)

10 Congress St
Suite 208
Pasadena, CA 91105-3027
Phone (626) 792-2166

Hospital & facility affiliations

  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
87.72
Promoting interoperability
96
Improvement activities
40
Cost
74.86

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1245947183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST STE 208",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053027",
            "telephone_number": "626-792-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST STE 208",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053027",
            "telephone_number": "626-792-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TIFFANY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "95097882",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.