Individual provider Active NPI

Tiffany Lee Rowe, NP

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1265613442
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310449 Issued in NY
Practice address
55 Yarkerdale Dr
Rochester, NY 14615-1033
Phone
(315) 515-1553
NPI assigned
Nov 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310449 NY Primary
Licensed Practical Nurse 164W00000X 281638 NY

Addresses

Primary practice location

55 Yarkerdale Dr
Rochester, NY 14615-1033

Mailing address

55 Yarkerdale Dr
Rochester, NY 14615-1033
Phone (315) 515-1553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250611001571 NY Practitioner - Nurse Practitioner 4082124748 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281638NYMDLicensed Practical Nurse
310449NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Old Mission Medicine Wound Care New York PLLC CurrentSince Mar 21, 2025 Accepting new patients

Locations

175 Central Ave
Albany, NY 12206
Phone (518) 436-4462

353 Lexington Ave
Fl 4
New York, NY 10016
Phone (301) 973-6102

225 Matlage Way
Unit 31
Sugar Land, TX 77487

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1265613442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 YARKERDALE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151033",
            "telephone_number": "315-515-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 YARKERDALE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151033",
            "telephone_number": "315-515-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "TIFFANY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310449",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "281638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.