Tyffany Nicole Deterville, RN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

822223 Issued in NY

Practice address

1591 Bruckner Blvd Apt 4a
Bronx, NY 10472-6437

Phone

(929) 670-0430

NPI assigned

Oct 14, 2026

Last updated

Oct 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1427954858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 BRUCKNER BLVD APT 4A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104726437",
            "telephone_number": "929-670-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 BRUCKNER BLVD APT 4A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104726437",
            "telephone_number": "929-670-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETERVILLE",
        "first_name": "TYFFANY",
        "middle_name": "NICOLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "822223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Guillermo Desueza, FNP-C
• Gweneth Lourecia Desuza, SOCIAL WORKER
• Edward Paul Desvernine, DC
• Arlene Detchkov, LCSW
• Konstantin Detchkov
• Marcello Detino
• Elizabeth Detroyer, CM
• Robyn Helene Deutsch Sokol, MD
• Arthur T Deutsch, OD
• Sheryl Deva

• Student in an Organized Health Care Education/Training Program in Bronx, NY
• Providers in Bronx, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.