Individual provider Active NPI

Tiffany Nichole Shivock, NP

  • Nurse Practitioner
  • Dover, DE
National Provider Identifier
1619853819
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
L1-0045172 Issued in DE
Practice address
665 South Bay Road
Dover, DE 19901
Phone
(443) 425-5078
NPI assigned
Aug 13, 2025
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X L1-0045172 DE Primary

Addresses

Primary practice location

665 South Bay Road
Dover, DE 19901

Mailing address

357 W Darby Cir
Dover, DE 19904-6006
Phone (443) 425-5078

Other names 1

  • Tiffany Robinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20251215001897 DE Practitioner - Nurse Practitioner 2668966805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians

Practice addresses (Care Compare)

665 Bay Rd
Unit B Bayhealth Endocrinology
Dover, DE 19901
Phone (302) 401-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0045172DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Oct 6, 2025 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Oct 6, 2025 Accepting new patients
Bayhealth Medical Center, Inc Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

665 S Bay Rd
Unit B
Dover, DE 19901
Phone (302) 608-5312

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1619853819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 W DARBY CIR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046006",
            "telephone_number": "443-425-5078",
            "fax_number": "302-735-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 SOUTH BAY ROAD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19901",
            "telephone_number": "443-425-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVOCK",
        "first_name": "TIFFANY",
        "middle_name": "NICHOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "L1-0045172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "ROBINSON",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.