Individual provider Active NPI

Tiffany Morrow Hood, FNP

  • Primary Care Nurse Practitioner
  • Yucca Valley, CA
National Provider Identifier
1730643362
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
9510637 Issued in CA
Practice address
57475 29 Palms Hwy Ste 101
Yucca Valley, CA 92284-2906
Phone
(760) 365-9878
Fax
(206) 309-0387
NPI assigned
Jan 28, 2019
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 9510637 CA Primary

Addresses

Primary practice location

57475 29 Palms Hwy Ste 101
Yucca Valley, CA 92284-2906

Mailing address

57475 29 Palms Hwy Ste 101
Yucca Valley, CA 92284-2906
Phone (760) 365-9878

Other identifiers 1

IdentifierTypeStateIssuer
95010637OtherCACALIFORNIA LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190624001162 CA Practitioner - Nurse Practitioner 1557695624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

333 Laws Ave
Ukiah, CA 95482-6540
Phone (707) 468-1010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9510637CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. CurrentSince Mar 27, 2019 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Mendocino Community Health Clinic, Inc. Past Accepting new patients

Locations

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113

Interoperability endpoints

  • Direct secure messaging: thood814923@direct.ochin.org
  • Direct secure messaging: tiffany.hood.p1@direct.rrhc.nextgenshare.com

Organizations & group practices 4

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": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1730643362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57475 29 PALMS HWY STE 101",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842906",
            "telephone_number": "760-365-9878",
            "fax_number": "206-309-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57475 29 PALMS HWY STE 101",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842906",
            "telephone_number": "760-365-9878",
            "fax_number": "206-309-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "TIFFANY",
        "middle_name": "MORROW",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "9510637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE NUMBER",
            "identifier": "95010637",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

Verify at the official NPI Registry.