Tiffany Douglas, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

22435320 Issued in IL

Practice address

2735 Hassert Blvd Ste 135
Naperville, IL 60564-5205

Phone

(815) 916-9678

NPI assigned

Feb 5, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1386595429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 HASSERT BLVD STE 135",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645205",
            "telephone_number": "815-916-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 HASSERT BLVD STE 135",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645205",
            "telephone_number": "815-916-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "TIFFANY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "22435320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dougherty Family Chiropractic PC
• Michelle Senatore Dougherty, D.C.
• Blake A Douglas, OTR/L
• Kelli Douglas, OTR/L
• Sarah Bronwen N Douglas
• Kathryn Douma, LCSW, CCM
• Starr Dowdy
• Karl Robert Downing Jr., LCPC
• Jennifer Downs Sandack, LCPC
• Christine Anne Doyle, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Naperville, IL
• Providers in Naperville, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.