Tiffany N. Perdue, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277.002126 Issued in IL

Practice address

4749 Lincoln Mall Dr Ste 540
Matteson, IL 60443-2348

Phone

(815) 412-4245

NPI assigned

Nov 4, 2014

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmoore205542@direct.myadvocateaurora.org
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Advocate Health and Hospitals Corporation

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455
  Medicare reassignment NPD
• Perspective Behavioral and Pain Solutions LTD

  • Psychologist
  • Rosemont, IL
  • NPI 1326671702
  Medicare reassignment NPD
• Riverside Health System

  • General Practice Physician
  • Kankakee, IL
  • NPI 1417061193
  Medicare reassignment NPD
• Advocate Health & Hospitals Corporation

  • Medical Specialty Clinic/Center
  • Oak Lawn, IL
  • NPI 1912936014
  NPD
• Advocate Health and Hospitals Corporation

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  NPD
• Riverside Health System

  • Psychiatry Physician
  • Kankakee, IL
  • NPI 1336354430
  NPD

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1538564448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26242 S PEACH TREE LN",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604498009",
            "telephone_number": "708-653-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 LINCOLN MALL DR STE 540",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432348",
            "telephone_number": "815-412-4245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Vollmer Rd",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604613168",
            "country_code": "US",
            "telephone_number": "708-481-8883",
            "fax_number": "708-481-2917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26242 S Peach Tree Ln",
            "address_purpose": "LOCATION",
            "city": "Monee",
            "state": "IL",
            "postal_code": "604498009",
            "country_code": "US",
            "telephone_number": "708-653-6803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W Jackson Blvd Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606043597",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "TIFFANY",
        "middle_name": "N.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041386465",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.002126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmoore205542@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4001 Vollmer Rd",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604613168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4001 Vollmer Rd",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604613168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrice Patton-Campbell, LCPC, NCC
• PC Xpress Inc
• Peaceful Mind Therapeutics PLLC
• Karen L. Pedigo, PHD
• Timothy W Pedigo, PHD
• Keri Perillo, LCPC, CADC
• Personal Care Pharmacy
• Quanesha Phillips
• Sheila M. Pijus
• Pinhas Sharon MD, LLC

• Family Nurse Practitioner in Matteson, IL
• Providers in Matteson, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2024; 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.