Tiffani Briana Roundtree

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

30575 Issued in TN

Practice address

142 Public Square
Suite E, 104
Lebanon, TN 37087

Phone

(931) 265-2649

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1295513711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 COLES FERRY PIKE",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370879603",
            "telephone_number": "931-265-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PUBLIC SQUARE",
            "address_2": "SUITE E, 104",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "37087",
            "telephone_number": "931-265-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNDTREE",
        "first_name": "TIFFANI",
        "middle_name": "BRIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "30575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy Rogers Ross Jr., LPC
• Michelle Ross, RD
• Roundtree Mental Health Group PLLC
• Alan W Roundtree, M.D.
• Jordan Roundtree, APRN, PMHNP
• Alivia Rowe, RBT
• Rox Dental Partners, PLLC
• Sarah Michelle Rudder, PA-C
• Russell K Kirk, DDS, PC
• Michelle Sadler, LMT

• Psychiatric/Mental Health Nurse Practitioner in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.