Tiffonie Lynn Richmond, PMHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0027732 Issued in OH

Practice address

3615 Socialville Fosters Rd. Suite C
Mason, OH 45040

Phone

(513) 204-1910

Fax

(513) 549-1556

NPI assigned

Oct 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Tiffonie Lynn Caudill Former name

Electronic endpoints 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Beckett Springs Physician Group LLC

  • Psychiatry Physician
  • West Chester, OH
  • NPI 1285045922
  Medicare reassignment NPD
• Lee Side Wellness Associates, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mason, OH
  • NPI 1841731510
  Medicare reassignment NPD
• Healing Tree Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Anderson, OH
  • NPI 1821821778
  NPD Authorized official
• Beckett Springs Physician Group LLC

  • Psychiatry Physician
  • West Chester, OH
  • NPI 1811651532
  NPD
• Sycamore Springs Physician Group LLC

  • Psychiatry Physician
  • Lafayette, IN
  • NPI 1972914539
  NPD (past)

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1699373696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 SOCIALVILLE FOSTERS RD. SUITE C",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-204-1910",
            "fax_number": "513-549-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 SOCIALVILLE FOSTERS RD. SUITE C",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-204-1910",
            "fax_number": "513-549-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "TIFFONIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2024-01-10",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0027732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tiffoniecaudill@spsh.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8614 Shepherd Farm Dr",
            "city": "West Chester",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450691128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tiffoniecaudill@spsh.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8614 Shepherd Farm Dr",
            "city": "West Chester",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450691128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFONIE",
            "last_name": "CAUDILL",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "MPHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica N Reynolds, R.EEG.T
• Jeff A Rhein, PCC-SUPV
• Collin Rhoade, MA, LPCC
• Talliyah Rhone, RBT
• Christopher Ray Richards, D.C.
• Anne Marie Richter, PCC
• Mackenzie Ricke
• Tyneika Rickman
• Tara Rochelle Riddell, PTA
• Demetre Ridley

• Nurse Practitioner in Mason, OH
• Providers in Mason, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.