Individual provider Active NPI

Tiffany Ann Deschamps, RN, FNP-BC

  • Family Nurse Practitioner
  • North Haven, CT
National Provider Identifier
1386446383
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14633 Issued in CT
Practice address
451 State St Ste a
North Haven, CT 06473-3070
Phone
(203) 672-2800
Fax
(914) 393-7519
NPI assigned
Mar 27, 2025
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 14633 CT
Family Nurse Practitioner 363LF0000X 14633 CT Primary
Registered Nurse 163W00000X 230508 CT

Addresses

Primary practice location

451 State St Ste a
North Haven, CT 06473-3070

Mailing address

549 New Britain Ave
Newington, CT 06111-4361
Phone (860) 630-0866

Other practice location 1

3401 Pga Blvd Ste 310
Palm Beach Gardens, FL 33410-2824
Phone (914) 393-7519 ext. 1023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20250702000921 CT Practitioner - Nurse Practitioner 2163935123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mark a. Perrotti,M.D.LLCGroup PAC ID 1456364579, 2 clinicians

Practice addresses (Care Compare)

6 Business Park Dr
Suite 302
Branford, CT 06405-2988
Phone (203) 481-0077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230508CTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice & Internal Medicine, LLC Family CurrentSince May 1, 2025 Accepting new patients
Mark a. Perrotti,M.D.LLC CurrentSince Dec 15, 2025 Accepting new patients

Locations

251 W Main St
Branford, CT 06405
Phone (203) 315-5300

251 W Main St
Ste 5
Branford, CT 06405
Phone (203) 481-0077

6 Business Park Dr
Ste 302
Branford, CT 06405
Phone (203) 483-4580

451 State St
Ste A
North Haven, CT 06473
Phone (203) 672-2800

52 Washington Ave
Ste 4
North Haven, CT 06473
Phone (203) 672-2800

821 N Main Street Ext
Ste 210
Wallingford, CT 06492
Phone (203) 294-3610

Interoperability endpoints

  • Direct secure messaging: tiffanydeschamps@mperrotti.directglo.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1386446383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 NEW BRITAIN AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114361",
            "telephone_number": "860-630-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 STATE ST STE A",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733070",
            "telephone_number": "203-672-2800",
            "fax_number": "914-393-7519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Pga Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334102824",
            "country_code": "US",
            "telephone_number": "914-393-7519 x1023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESCHAMPS",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "14633",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14633",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "230508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.