Individual provider Active NPI

Tiffany Jonique Sylvester

  • Psychiatric/Mental Health Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1780211524
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
236453 Issued in AZ
Practice address
14833 W Ashland Ave
Goodyear, AZ 85395-1671
Phone
(602) 348-2224
NPI assigned
Mar 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 236453 AZ
Family Nurse Practitioner 363LF0000X 236453 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 236453 AZ Primary

Addresses

Primary practice location

14833 W Ashland Ave
Goodyear, AZ 85395-1671

Mailing address

16000 W Maricopa St
Goodyear, AZ 85338-2858
Phone (602) 571-2955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210421001622 AZ Practitioner - Nurse Practitioner 0749698280 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236453AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Network, Inc. CurrentSince Feb 8, 2024 Accepting new patients
The Little Clinic of Arizona LLC Family CurrentSince Apr 1, 2021 Accepting new patients
Southwest Network Current Accepting new patients
Jones Center for Healing PLLC Family Current Accepting new patients
Connectionsaz, LLC CurrentSince May 21, 2025 Accepting new patients
Community Medical Services Arizona-Private, LLC CurrentSince Mar 31, 2021 Accepting new patients
Southwest Network, Inc. CurrentSince Feb 8, 2024 Accepting new patients
Connectionsaz, LLC CurrentSince May 21, 2025 Accepting new patients
Community Medical Services Arizona-Private, LLC PastSince Feb 1, 2021 Accepting new patients
Community Medical Services Arizona-Private, LLC Past Accepting new patients

Locations

1575 N Dysart Rd
Avondale, AZ 85392
Phone (623) 687-9883

3140 N Arizona Ave
Ste 113
Chandler, AZ 85225
Phone (480) 497-4040

1465 W Chandler Blvd
Bldg A
Chandler, AZ 85224
Phone (480) 786-8200

9051 W Kelton Ln
Ste 13
Peoria, AZ 85382
Phone (623) 815-5700

2311 W Royal Palm Rd
Phoenix, AZ 85021
Phone (602) 269-5300

1840 N 95th Ave
Ste 132
Phoenix, AZ 85037
Phone (623) 932-6950

1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100

2444 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (602) 304-0014

2700 N Central Ave
Ste 1050
Phoenix, AZ 85004
Phone (602) 266-8402

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

3227 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (480) 719-7383

Organizations & group practices 10

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1780211524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 W MARICOPA ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382858",
            "telephone_number": "602-571-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14833 W ASHLAND AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951671",
            "telephone_number": "602-348-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "TIFFANY",
        "middle_name": "JONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "236453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "236453",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "236453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.