Active NPI
Tiffany N Malloy, APRN
- Family Nurse Practitioner
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.025802
- Practice address
- 221 E 4TH St Ste 250
Cincinnati, OH 45202-4264 - Phone
- (513) 992-4951
- Fax
- (513) 924-8418
- NPI assigned
- Aug 24, 2018
- Last updated
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012525 | KY | |
| Family Nurse Practitioner | 363LF0000X | 0024186523 | VA | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.025802 | OH | Primary |
Addresses
Primary practice location
221 E 4TH St Ste 250
Cincinnati, OH 45202-4264
Mailing address
7875 Montgomery Rd SPC 1102
Cincinnati, OH 45236-4378
Phone (513) 686-3031
Other practice location 1
933 29th St
Ashland, KY 41101-3021
Phone (606) 325-7000
Other practice location 2
12320 W Broad St
Henrico, VA 23233-7603
Phone (513) 752-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
- Bon Secours Mercy Health Virtual Care LLC
Practice addresses (Care Compare)
225 Medical Ctr Dr
Suite 201
Paducah, KY 42003-7907
Phone (513) 752-8000
5818 D Harbour View Blvd
Suite 250
Suffolk, VA 23435-2658
Phone (513) 752-8000
601 Ivy Gtwy
Cincinnati, OH 45245-1898
Phone (513) 752-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012525 | KY | MD | Family Nurse Practitioner |
| APRN.CNP.025802 | OH | MD | Family Nurse Practitioner |
| 0024186523 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Mercy Health Virtual Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Mercy Health Virtual Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati, LLC | Current | Accepting new patients | |
| Timothy S. Hart, MD, PSC | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati LLC | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky LLC | Current | Accepting new patients | |
| Lswhb LLC | Past | Accepting new patients |
Locations
933 29th St
Ashland, KY 41101
Phone (606) 325-7500
3955 Alexandria Pike
Cold Spring, KY 41076
Phone (859) 431-4430
1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537
225 Medical Center Dr
Ste 201
Paducah, KY 42003
Phone (270) 441-4200
4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000
221 E 4th St
Ste 250
Cincinnati, OH 45202
Phone (513) 924-8415
2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500
601 Ivy Gtwy
Cincinnati, OH 45245
Phone (513) 233-6480
7875 Montgomery Rd
Spc 1102
Cincinnati, OH 45236
Phone (513) 686-3031
201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100
Interoperability endpoints
- https://api.platform.athenahealth.com/17713/brand/1/csg/1/fhir/r4
- tmalloy657219@direct.bsmhealth.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Health - Virtual Care
- Family Medicine Physician
- Cincinnati, OH
- NPI 1104543586
-
- Surgery Physician
- Blue Ash, OH
- NPI 1154942795
-
dba Mercy Health - Virtual Care
- Family Medicine Physician
- Paducah, KY
- NPI 1194432294
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922243690
-
- Primary Care Clinic/Center
- Ashland, KY
- NPI 1518254747
-
dba Bon Secours - Virtual Care
- Family Medicine Physician
- Henrico, VA
- NPI 1730806118
-
dba Mercy Health - Orthopaedics and Spine, Liberty Falls
- Durable Medical Equipment & Medical Supplies
- Liberty Township, OH
- NPI 1790281517
-
dba Mercy Health- Kyles Station Orthopedic and Sports Medicine
- Durable Medical Equipment & Medical Supplies
- Liberty TWP, OH
- NPI 1730993270
-
dba ETHOS Care
- Behavioral Neurology & Neuropsychiatry Physician
- Milford, OH
- NPI 1407325939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1528549706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7875 MONTGOMERY RD SPC 1102",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452364378",
"telephone_number": "513-686-3031",
"fax_number": "513-686-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 E 4TH ST STE 250",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452024264",
"telephone_number": "513-992-4951",
"fax_number": "513-924-8418"
}
],
"practiceLocations": [
{
"address_1": "933 29th St",
"address_purpose": "LOCATION",
"city": "Ashland",
"state": "KY",
"postal_code": "411013021",
"country_code": "US",
"telephone_number": "606-325-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12320 W Broad St",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232337603",
"country_code": "US",
"telephone_number": "513-752-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLOY",
"first_name": "TIFFANY",
"middle_name": "N",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2023-11-03",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3012525",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024186523",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.025802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.