Tiffany Nichole Russaw, APRN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

APRN001581 Issued in NV

Practice address

330 Casino Center Blvd
Las Vegas, NV 89101

Phone

(702) 671-5637

Fax

(702) 366-0576

NPI assigned

Sep 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tiffany Nichole Payne Former name

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Serenity Mental Health

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1497047203
  Medicare reassignment NPD

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1477988095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 4TH ST STE 2110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016014",
            "telephone_number": "216-544-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 CASINO CENTER BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89101",
            "telephone_number": "702-671-5637",
            "fax_number": "702-366-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSAW",
        "first_name": "TIFFANY",
        "middle_name": "NICHOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN75931",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NV",
            "license": "APRN001581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "PAYNE",
            "middle_name": "NICHOLE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Mattinson Rushton, M.D.
• Jordan Rushton
• Michael Joseph Rushton, DO
• Jason Rusk, PA-C
• Andrew Russ
• Jon Richard Russe
• Russell J. Shah MD LTD
• Russell Jayne MD LTD
• Angela Russell- Gibbon
• Amber Russell

• Adult Psychiatric/Mental Health Registered Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.