Individual provider Active NPI

Tiffany Anderson

  • Psychiatric/Mental Health Registered Nurse
  • Chicago, IL
National Provider Identifier
1386558195
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
1071664 Issued in TX
Practice address
1149 W 84TH St
Chicago, IL 60620-3106
Phone
(773) 407-9586
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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 Registered Nurse 163WP0808X 1071664 TX Primary

Addresses

Primary practice location

1149 W 84TH St
Chicago, IL 60620-3106

Mailing address

4252 Reserve Way Apt 2093
Irving, TX 75038-9074
Phone (708) 510-8455

Other practice location 1

142 W 62nd St Ste 209
Chicago, IL 60621-3809
Phone (312) 498-7206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1386558195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 RESERVE WAY APT 2093",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750389074",
            "telephone_number": "708-510-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 W 84TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606203106",
            "telephone_number": "773-407-9586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 W 62nd St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606213809",
            "country_code": "US",
            "telephone_number": "312-498-7206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1071664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.