Individual provider Active NPI

Tiffany Semie Guirand, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1790043990
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP029379 Issued in PA
Practice address
2138 W Union Blvd
Bethlehem, PA 18018-2011
Phone
(570) 534-0577
Fax
(484) 282-9607
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X SP029379 PA Primary

Addresses

Primary practice location

2138 W Union Blvd
Bethlehem, PA 18018-2011

Mailing address

700 Smith St #61070
SMB#67002
Houston, TX 77002
Phone (570) 534-0577

Other practice location 1

2 Garfield St
Apt. 1A
Bay Shore, NY 11706-7243
Phone (516) 902-2480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241030002679 PA Practitioner - Nurse Practitioner 7517408180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care of Pennsylvania LLCGroup PAC ID 0143521211, 91 clinicians

Practice addresses (Care Compare)

2109 Red Lion Rd
Philadelphia, PA 19115-1711
Phone (718) 298-4375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP029379PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of Pennsylvania LLC Multi-Specialty CurrentSince Jan 15, 2025 Accepting new patients
TSG Psychiatry LLC Registered Nurse CurrentSince Sep 9, 2024 Accepting new patients
Grow Healthcare Group PA Multi-Specialty CurrentSince Apr 22, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

700 Smith St
#61070
Houston, TX 77002
Phone (248) 636-1884

Interoperability endpoints

  • Direct secure messaging: tiffany.guirand.1@32853.direct.athenahealth.com

Organizations & group practices 3

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": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1790043990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SMITH ST #61070",
            "address_2": "SMB#67002",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77002",
            "telephone_number": "570-534-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 W UNION BLVD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182011",
            "telephone_number": "570-534-0577",
            "fax_number": "484-282-9607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Garfield St",
            "address_2": "Apt. 1A",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117067243",
            "country_code": "US",
            "telephone_number": "516-902-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUIRAND",
        "first_name": "TIFFANY",
        "middle_name": "SEMIE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.