Individual provider Active NPI

Tiffany Watson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Walnut Hills, OH
National Provider Identifier
1477889822
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.18434 Issued in OH
Practice address
1501 Madison Rd
Walnut Hills, OH 45206-1706
Phone
(513) 354-5238
Fax
(513) 354-5237
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 314-300 OH
Adult Health Nurse Practitioner 363LA2200X COA 18434 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.18434 OH
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APRN.CNP.18434 OH Primary

Addresses

Primary practice location

1501 Madison Rd
Walnut Hills, OH 45206-1706

Mailing address

3336 Harrison Ave Unit 11606
Cincinnati, OH 45211-8527
Phone (513) 295-1529

Other practice location 1

4850 Smith Rd Ste 100A
Cincinnati, OH 45212-2797
Phone (513) 841-0777

Other identifiers 2

IdentifierTypeStateIssuer
NP 18434OtherOHOHIO NP LICENSE
147789822OtherOHNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160630002360 OH Practitioner - Nurse Practitioner 3375845688 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Cincinnati, OH 45211
Phone (513) 295-1521

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314-300OHMDRegistered Nurse
COA 18434OHMDAdult Health Nurse Practitioner
APRN.CNP.18434OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Single Specialty CurrentSince Dec 31, 2019 Accepting new patients
Grow Healthcare Group PA Single Specialty CurrentSince Nov 30, 2022 Accepting new patients
Vpa PC Single Specialty Current Accepting new patients
Vpa PC Single Specialty Current Accepting new patients
Thrive Counseling LLC Single Specialty CurrentSince Apr 14, 2025 Accepting new patients
Vpa PC Single Specialty Current Accepting new patients
Cultivating Mind LLC. Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Vpa PC CurrentSince Dec 31, 2019 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3336 Harrison Ave
Unit 11606
Cincinnati, OH 45211

4850 Smith Rd
Ste 100A
Cincinnati, OH 45212
Phone (513) 841-0777

2752 Erie Ave
Cincinnati, OH 45208
Phone (513) 871-0290

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

1890 Northwest Blvd
Ste 140
Columbus, OH 43212
Phone (614) 515-6291

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1477889822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 HARRISON AVE UNIT 11606",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452118527",
            "telephone_number": "513-295-1529",
            "fax_number": "513-662-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MADISON RD",
            "city": "WALNUT HILLS",
            "state": "OH",
            "postal_code": "452061706",
            "telephone_number": "513-354-5238",
            "fax_number": "513-354-5237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4850 Smith Rd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452122797",
            "country_code": "US",
            "telephone_number": "513-841-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "314-300",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA 18434",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.18434",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.18434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO NP LICENSE",
            "identifier": "NP 18434",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "147789822",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Hills, OH

Sources for this page

Verify at the official NPI Registry.