Individual provider Active NPI

Kara Tiffan, CNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1659005502
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028689 Issued in OH
Practice address
1460 Broadway
New York, NY 10036-7329
Phone
(888) 623-3195
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11038876 FL
Registered Nurse 163W00000X RN.403618 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0028689 OH Primary
Registered Nurse 163W00000X 28296393A IN
Family Nurse Practitioner 363LF0000X 334952 AZ

Addresses

Primary practice location

1460 Broadway
New York, NY 10036-7329

Mailing address

1460 Broadway
New York, NY 10036-7329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220804003913 OH Practitioner - Nurse Practitioner 4183006208 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28296393AINMDRegistered Nurse
RN.403618OHMDRegistered Nurse
334952AZMDFamily Nurse Practitioner
APRN11038876FLMDFamily Nurse Practitioner
APRN.CNP.0028689OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Jan 1, 2026 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Aug 3, 2022 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

1955 Henderson Rd
Upper Arlington, OH 43220
Phone (614) 340-7546

Interoperability endpoints

  • Direct secure messaging: kara.tiffan@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 2

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1659005502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367329",
            "telephone_number": "888-623-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFAN",
        "first_name": "KARA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038876",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.403618",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028689",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28296393A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "334952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.