Individual provider Active NPI

Tiffany Farmer Vickers, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1346553872
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP06193 Issued in LA
Practice address
109 W 27TH St Ste 55
New York, NY 10001-0265
Phone
(833) 351-8255
NPI assigned
Jul 26, 2010
Last updated
Jan 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP06193 LA Primary

Addresses

Primary practice location

109 W 27TH St Ste 55
New York, NY 10001-0265

Mailing address

202 Village Cir Ste 3
Slidell, LA 70458-5418
Phone (985) 774-4989

Other practice location 1

202 Village Cir Ste 3
Slidell, LA 70458-5418
Phone (985) 774-4989

Other practice location 2

2373 Central Park Blvd Unit 100
Denver, CO 80238-2300
Phone (833) 351-8255

Other practice location 3

4435 E Chandler Blvd
Phoenix, AZ 85048-7649
Phone (833) 351-8255

Other identifiers 9

IdentifierTypeStateIssuer
295230OtherLALA MEDICARE
331485OtherAZAPRN
AP06193OtherLALA LICENSE
RN097301OtherLALA LICENSE
904611OtherMSAPRN
2121375MedicaidLA
4704394129OtherMIAPRN
APRN11025474OtherFLAPRN
C-APN.0104467-C-NPOtherCOAPRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000795 LA Practitioner - Nurse Practitioner 6002087863 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

301 N Main St
Suite 2200
Baton Rouge, LA 70825-0014
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP06193LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Just Care Holistic Services LLC CurrentSince Oct 27, 2024 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Jan 12, 2026 Accepting new patients
Rebirth Mental Health Services, Inc Psychiatric/Mental Health CurrentSince Jul 22, 2020 Accepting new patients

Locations

2373 Central Park Blvd
Unit 100
Denver, CO 80238
Phone (303) 803-1664

301 Main St
Ste 2200
Baton Rouge, LA 70801
Phone (225) 329-2337

3350 Ridgelake Dr
Ste 200
Metairie, LA 70002
Phone (504) 434-0017

7809 Airline Dr
Ste 305A
Metairie, LA 70003
Phone (504) 267-1234

7809 Airline Dr
Ste 305B
Metairie, LA 70003
Phone (504) 267-1234

202 Village Cir
Ste 3
Slidell, LA 70458
Phone (985) 774-4989

Interoperability endpoints

  • Direct secure messaging: tiffany.vickers.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: tvickers@landmarkhealth-direct.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1346553872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 VILLAGE CIR STE 3",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585418",
            "telephone_number": "985-774-4989",
            "fax_number": "985-288-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST STE 55",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100010265",
            "telephone_number": "833-351-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Village Cir Ste 3",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704585418",
            "country_code": "US",
            "telephone_number": "985-774-4989",
            "fax_number": "985-288-5466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2373 Central Park Blvd Unit 100",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802382300",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4435 E Chandler Blvd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850487649",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARMER VICKERS",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP06193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA MEDICARE",
            "identifier": "295230",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "331485",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA LICENSE",
            "identifier": "AP06193",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA LICENSE",
            "identifier": "RN097301",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "904611",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2121375",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "4704394129",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "APRN11025474",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "C-APN.0104467-C-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.