Individual provider Active NPI

Judith Harriet Tigay, FNP-BC

  • Family Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1598046526
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704239481 Issued in MI
Practice address
21415 Civic Center Dr
Ste 355
Southfield, MI 48076-3954
Phone
(734) 941-4991
Fax
(734) 941-4919
NPI assigned
Sep 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704239481 MI Primary

Addresses

Primary practice location

21415 Civic Center Dr
Ste 355
Southfield, MI 48076-3954

Mailing address

1827 Golf Ridge Dr
Bloomfield Hills, MI 48302-1721
Phone (248) 626-6123

Other identifiers 2

IdentifierTypeStateIssuer
0H27351OtherMIBCBSM
1598046526MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Urgent Care Medical Clinic PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: judith.tigay.1@16270.direct.athenahealth.com

Organizations & group practices 1

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": "1315008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1598046526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 GOLF RIDGE DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021721",
            "telephone_number": "248-626-6123",
            "fax_number": "248-626-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21415 CIVIC CENTER DR",
            "address_2": "STE 355",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763954",
            "telephone_number": "734-941-4991",
            "fax_number": "734-941-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGAY",
        "first_name": "JUDITH",
        "middle_name": "HARRIET",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-03",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704239481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0H27351",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598046526",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.