Individual provider Active NPI

Tiffany Eve Tamasfi, DNP

  • Nurse Practitioner
  • Herrin, IL
National Provider Identifier
1629574561
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209017657 Issued in IL
Practice address
220 S Park Ave FL 2
Herrin, IL 62948-3602
Phone
(618) 988-6240
Fax
(618) 351-4814
NPI assigned
Mar 31, 2018
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209017657 IL Primary
Family Nurse Practitioner 363LF0000X ARNP9360950 FL
Family Nurse Practitioner 363LF0000X 209.017657 IL

Addresses

Primary practice location

220 S Park Ave FL 2
Herrin, IL 62948-3602

Mailing address

332 Saint George Ave
St Augustine, FL 32084-2437
Phone (904) 377-0265

Other practice location 1

6500 N Clark St
Chicago, IL 60626-4097
Phone (773) 388-1600

Other practice location 2

4025 N Sheridan Rd
Chicago, IL 60613
Phone (773) 388-1600

Other names 1

  • Tiffany Eve Doty Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ttamasfi85414@sih.direct-ci.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180702001560 IL Practitioner - Nurse Practitioner 1355697590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

220 S Park Ave
FL 2
Herrin, IL 62948-3602
Phone (618) 988-6240

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209017657ILMDNurse Practitioner
ARNP9360950FLMDFamily Nurse Practitioner
209.017657ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Medical Services, NFP CurrentSince Aug 19, 2025 Accepting new patients
Howard Brown Health Center Past Accepting new patients
Howard Brown Health Center Past Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

220 S Park Ave
Fl 2
Herrin, IL 62948
Phone (618) 988-6240

Interoperability endpoints

  • Direct secure messaging: ttamasfi581243@direct.ochin.org

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 5

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": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1629574561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 SAINT GEORGE AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842437",
            "telephone_number": "904-377-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S PARK AVE FL 2",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483602",
            "telephone_number": "618-988-6240",
            "fax_number": "618-351-4814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 N Clark St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606264097",
            "country_code": "US",
            "telephone_number": "773-388-1600",
            "fax_number": "773-564-4156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4025 N Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60613",
            "country_code": "US",
            "telephone_number": "773-388-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMASFI",
        "first_name": "TIFFANY",
        "middle_name": "EVE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-31",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209017657",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9360950",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttamasfi85414@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "220 S Park Ave Fl 2",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "DOTY",
            "middle_name": "EVE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Herrin, IL

Sources for this page

Verify at the official NPI Registry.