Tiffany Raye Mueller, CNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

8684 Issued in MN

Practice address

1610 8TH Ave E.
Alexandria, MN 56308

Phone

(320) 335-6217

Fax

(320) 759-1014

NPI assigned

Oct 21, 2021

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

Other names 1

• Ms. Tiffany Raye Ackerman Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Community Behavioral Health Hospital Alexandria

  • Psychiatric Hospital
  • Alexandria, MN
  • NPI 1386676799
  NPD
• Community Behavioral Health Hospital Annandale

  • Psychiatric Hospital
  • Annandale, MN
  • NPI 1225130487
  NPD

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1649933177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 8TH AVE E.",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-335-6217",
            "fax_number": "320-759-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 8TH AVE E.",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-335-6217",
            "fax_number": "320-759-1014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 8th Ave E",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563082472",
            "country_code": "US",
            "telephone_number": "320-335-6201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "TIFFANY",
        "middle_name": "RAYE",
        "name_prefix": "Mrs.",
        "credential": "CNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2186375",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany.r.ackerman@state.mn.us",
            "affiliation": "N",
            "endpointDescription": "Work E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "All PHI and work related information",
            "address_1": "400 Annandale Blvd",
            "city": "Annandale",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553023141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "ACKERMAN",
            "middle_name": "RAYE",
            "prefix": "MS.",
            "credential": "CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Monroe, M.D.
• James Monson, LADC
• Taylor Moore
• Jaime Ray Moos
• Hailey Mousseau
• Candy Nathe, CMT
• Amanda Kristine Nefstead, ATC
• Andrea Marie Nelson, ATC
• Eric William Nelson, MD
• James Helge Nelson, MD

• Psychiatric/Mental Health Nurse Practitioner in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.