Tiffeny Wade Kombate, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9309063 Issued in FL

Practice address

75 Varick St FL 5
New York, NY 10013-1917

Phone

(855) 961-1942

Fax

(866) 702-0882

NPI assigned

Jul 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: tiffeny.kombate.2@14883.direct.athenahealth.com
• Direct secure messaging: tiffeny.kombate.1@14883.direct.athenahealth.com

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1316469950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VARICK ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131917",
            "telephone_number": "855-961-1942",
            "fax_number": "866-702-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VARICK ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131917",
            "telephone_number": "855-961-1942",
            "fax_number": "866-702-0882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2454 E Irlo Bronson Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347445431",
            "country_code": "US",
            "telephone_number": "407-343-8358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12280 Lake Underhill Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328255009",
            "country_code": "US",
            "telephone_number": "866-389-2772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMBATE",
        "first_name": "TIFFENY",
        "middle_name": "WADE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9309063",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9309063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Marie Komar, LCSW
• Ecaterina Komarnitsky, MD
• Lada Komarova, L.AC.
• Kimberly Mayumi Komatsubara, MD
• Faruk Erdem Kombak, MD
• Erica Komisar, LCSW
• Karen Frances Elaine Komisar, M.S.
• Marisa Alexandra Komisar
• Vanessa Komisar, LMSW
• Irina Komm, RPA-C

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.