Tiffany Amos, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Hartford, CT
NPI 1336847466 · NPPES record last updated Feb 17, 2023
Key facts
- NPI
- 1336847466
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 11622 (CT)
- Practice address
- 43 Woodland St
Hartford, CT 06105-2363 - Phone
- (888) 793-3500
- NPI assigned
- Feb 17, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Community Health Services Inc
Practice addresses (Care Compare)
500 Albany Ave
Hartford, CT 06120-2508
Phone (860) 249-9625
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230525000337 | CT | Practitioner - Nurse Practitioner | 8820454341 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11622 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Services, Inc. | Current |
Accepting new patients | |
| New Horizons Mental Health LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Community Health Services, Inc. | Current |
Accepting new patients |
Locations
500 Albany Ave
Hartford, CT 06120
Phone (860) 249-9625
Interoperability endpoints
- tiffany.amos.p1@direct.chs.nextgenshare.com
- tiffany.amos.p1@direct.wheelerclinic.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11622 | CT | Yes |
Addresses
Primary practice location
43 Woodland St
Hartford, CT 06105-2363
Mailing address
43 Woodland St
Hartford, CT 06105-2363
Phone (888) 793-3500
Other providers in Hartford, CT
- Sharareh Amin Hanjani
- Caroline Amin
- Hardik P Amin
- Payal B Amin
- Lisa Amore
- Stephen Marc Amrock
- Anabell Ramos-Merced, LLC
- Valentine Anaedo
- Antonia Melissa Anderson Curtis
- Teodoro Anderson-Diaz
All providers in Hartford, CT · Psychiatric/Mental Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.