Individual provider Active NPI

Tiffany Marie Smith, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1518444041
Registry record updated Nov 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN817140 Issued in NV
Practice address
1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308
Phone
(702) 907-7924
Fax
(725) 210-0600
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN43182 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN817140 NV Primary

Addresses

Primary practice location

1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308

Mailing address

1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308
Phone (702) 907-7924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, OR3 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
I20190429002374 NV Practitioner - Nurse Practitioner 7012259708 Reassigns benefits to 1 organization
I20210517001219 AZ Practitioner - Nurse Practitioner 7012259708 Reassigns benefits to 1 organization
I20260225003905 OR Practitioner - Nurse Practitioner 7012259708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Group Providers LLCGroup PAC ID 9335430693, 24 clinicians
Behavioral Health Solutions LLCGroup PAC ID 4385998954, 60 clinicians
Oregon Behavioral Health Solutions, LLCGroup PAC ID 9133657539, 6 clinicians

Practice addresses (Care Compare)

1500 N Priest Dr
Suite 109
Tempe, AZ 85288-1213
Phone (602) 734-5664

2200 Paseo Verde Pkwy
Suite 190
Henderson, NV 89052-2703
Phone (702) 589-4871

6003 SE 136TH Ave
Portland, OR 97236-4567
Phone (702) 528-9947

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
80.29
Promoting interoperability
95
Improvement activities
40
Cost
61.08

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
71.1
Promoting interoperability
68
Improvement activities
40
Cost
69.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN817140NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Group Providers, LLC CurrentSince Apr 1, 2021 Accepting new patients
Aroma Functional Nutrition Psychiatry, LLC Current Accepting new patients
Behavioral Health Solutions LLC CurrentSince Mar 13, 2020 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Mar 13, 2020 Accepting new patients
Oregon Behavioral Health Solutions, LLC CurrentSince Feb 6, 2026 Accepting new patients

Locations

1400 N San Antonio Ave
Douglas, AZ 85607
Phone (520) 364-7937

275 E Rivulon Blvd
Ste 201
Gilbert, AZ 85297
Phone (702) 483-5029

1933 W Pepper Tree Dr
Safford, AZ 85546
Phone (928) 428-4910

1500 N Priest Dr
Ste 109
Tempe, AZ 85288

2470 S Arizona Ave
Yuma, AZ 85364
Phone (926) 344-8541

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

1180 N Town Center Dr
Ste 100
Las Vegas, NV 89144
Phone (702) 202-2060

6003 SE 136th Ave
Portland, OR 97236
Phone (503) 761-1155

Interoperability endpoints

  • Direct secure messaging: tiffany.smith.1@24259.direct.athenahealth.com

Organizations & group practices 5

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1518444041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N TOWN CENTER DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446308",
            "telephone_number": "702-907-7924",
            "fax_number": "725-210-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N TOWN CENTER DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446308",
            "telephone_number": "702-907-7924",
            "fax_number": "725-210-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN43182",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN817140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.