Individual provider Active NPI

Tiffany N Malloy, APRN

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1528549706
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025802 Issued in OH
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA3 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
I20181106002268 KY Practitioner - Nurse Practitioner 0941554141 Reassigns benefits to 4 organizations
I20191114002113 OH Practitioner - Nurse Practitioner 0941554141 Reassigns benefits to 2 organizations
I20231102002307 VA Practitioner - Nurse Practitioner 0941554141 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
Bon Secours Mercy Health Virtual Care LLCGroup PAC ID 4688044977, shared by 4 NPIs, 12 clinicians

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

LicenseStateTypeSpecialty
3012525KYMDFamily Nurse Practitioner
APRN.CNP.025802OHMDFamily Nurse Practitioner
0024186523VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Mercy Health Virtual Care LLC CurrentSince Jan 1, 2023 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Bon Secours Mercy Health Virtual Care LLC CurrentSince Apr 1, 2023 Accepting new patients
Mercy Health Physicians Cincinnati, LLC CurrentSince Oct 15, 2019 Accepting new patients
Timothy S. Hart, MD, PSC CurrentSince Oct 29, 2018 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Oct 15, 2019 Accepting new patients
Mercy Health Physicians Kentucky LLC CurrentSince Dec 15, 2024 Accepting new patients
Lswhb LLC PastSince May 5, 2022 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

  • FHIR API: https://api.platform.athenahealth.com/17713/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.