Tiffany L Butler, RN
Individual provider Active NPI Registered Nurse · Freeport, NY
NPI 1760757694 · NPPES record last updated Sep 9, 2026
Key facts
- NPI
- 1760757694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 755635 (NY)
- Practice address
- 175 Putnam Ave
Freeport, NY 11520-1151 - Phone
- (516) 240-0894
- NPI assigned
- Mar 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 755635 | NY | Yes |
Addresses
Primary practice location
175 Putnam Ave
Freeport, NY 11520-1151
Mailing address
175 Putnam Ave
Freeport, NY 11520-1151
Phone (516) 240-0894
Other providers in Freeport, NY
- Lisa Brienza
- Shena Brown
- Leanora Buckley
- Scott Buda I
- Norlito Bunal
- Shirley Ann Byer
- Lisa-Anne Byers
- Aida Cabrera-Moro
- Camillia Callaghan
- Aisha Campbell
All providers in Freeport, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.