Active NPI
Tiffany Hamil, R.N.
- Pediatric Nurse Practitioner
- Bronx, NY
National Provider Identifier
1295143246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F382595-1
- Practice address
- 3415 Bainbridge Ave
Bronx, NY 10467-2403 - Phone
- (718) 741-2426
- NPI assigned
- Jul 22, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F382595-1 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 620622 | NY |
Addresses
Primary practice location
3415 Bainbridge Ave
Bronx, NY 10467-2403
Mailing address
3 Sunny Ridge Rd
Spring Valley, NY 10977-2214
Phone (845) 300-3684
Other practice location 1
3 Sunny Ridge Rd
Spring Valley, NY 10977-2214
Phone (845) 300-3684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F382595-1 | NY | MD | Pediatric Nurse Practitioner |
| 620622 | NY | MD | Student in an Organized Health Care Education/Training Program |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- thamil@montefioredirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1295143246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SUNNY RIDGE RD",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109772214",
"telephone_number": "845-300-3684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 BAINBRIDGE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104672403",
"telephone_number": "718-741-2426"
}
],
"practiceLocations": [
{
"address_1": "3 Sunny Ridge Rd",
"address_purpose": "LOCATION",
"city": "Spring Valley",
"state": "NY",
"postal_code": "109772214",
"country_code": "US",
"telephone_number": "845-300-3684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMIL",
"first_name": "TIFFANY",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F382595-1",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "620622",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.