Active NPI
Tiffany Lee Rowe, NP
- Adult Health Nurse Practitioner
- Rochester, NY
National Provider Identifier
1265613442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 310449
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281638 | NY | MD | Licensed Practical Nurse |
| 310449 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Mission Medicine Wound Care New York PLLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.