Individual provider Active NPI

Tiffany Nicole Wright, PMHNP-BC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • East Point, KY
National Provider Identifier
1487938809
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
3007185 Issued in KY
Practice address
253 Hager BR
East Point, KY 41216-8766
Phone
(606) 887-1005
Fax
(606) 764-1813
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007185 KY
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 3007185 KY Primary

Addresses

Primary practice location

253 Hager BR
East Point, KY 41216-8766

Mailing address

253 Hager BR
East Point, KY 41216-8766
Phone (606) 887-1005

Other identifiers 1

IdentifierTypeStateIssuer
7100179970MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20111130000511 KY Practitioner - Nurse Practitioner 0244404242 Reassigns benefits to 3 organizations
I20240426000465 WV Practitioner - Nurse Practitioner 0244404242 Reassigns benefits to 1 organization
I20250408002424 CT Practitioner - Nurse Practitioner 0244404242 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moonshot Psychiatric Nurse Practitioner PCGroup PAC ID 9335589696, 79 clinicians
Recovery WellGroup PAC ID 4284083148, 2 clinicians

Practice addresses (Care Compare)

1040 Monarch St
Lexington, KY 40513-1852
Phone (201) 748-2806

253 Hager BR
East Point, KY 41216-8766
Phone (606) 887-1005

777 W Putnam Ave
Suite 300
Greenwich, CT 06830-5000
Phone (201) 748-2806

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3007185KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moonshot Psychiatric Nurse Practitioner PC Family CurrentSince May 13, 2025 Accepting new patients
Pursuecare Connecticut PC CurrentSince Mar 14, 2025 Accepting new patients
Curana Health of Kentucky LLC CurrentSince Jun 5, 2017 Accepting new patients
Pai Medical WV PLLC Family CurrentSince Oct 10, 2024 Accepting new patients
Pai CT PLLC Family CurrentSince Mar 14, 2025 Accepting new patients

Locations

777 W Putnam Ave
Ste 300
Greenwich, CT 06830
Phone (203) 542-2808

101 Centerpoint Dr
Ste 105
Middletown, CT 06457
Phone (860) 245-8553

1040 Monarch St
Lexington, KY 40513

4965 US Highway 42
Ste 1000
Louisville, KY 40222
Phone (502) 272-4400

1308 4th Ave
Huntington, WV 25701
Phone (304) 525-1222

3058C Charles Town Rd
Kearneysville, WV 25430
Phone (860) 270-0485

Organizations & group practices 6

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": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1487938809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 HAGER BR",
            "city": "EAST POINT",
            "state": "KY",
            "postal_code": "412168766",
            "telephone_number": "606-887-1005",
            "fax_number": "606-764-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 HAGER BR",
            "city": "EAST POINT",
            "state": "KY",
            "postal_code": "412168766",
            "telephone_number": "606-887-1005",
            "fax_number": "606-764-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007185",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3007185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100179970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, KY

Sources for this page

Verify at the official NPI Registry.