NPIMap

Organization Active NPI

Symatree LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Champaign, IL
National Provider Identifier
1790496099
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SYMATREE LLC
Doing business as
Symatree LLC
Practice address
411 Devonshire Dr
Champaign, IL 61820-7286
Phone
(217) 714-8912
NPI assigned
Dec 7, 2022
Last updated
Mar 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Mrs. Tiffany Ann Rushing, APRNNPI 1013349158
Title
Nurse Practitioner
Phone
(217) 904-3035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

411 Devonshire Dr
Champaign, IL 61820-7286

Mailing address

495 Devonshire Dr
Champaign, IL 61820-7295
Phone (217) 904-3035

Other names 1

  • Symatree LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffanyrushing@symatree.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

495 Devonshire Dr
Champaign, IL 61820
Phone (217) 904-3035

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1790496099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 DEVONSHIRE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207295",
            "telephone_number": "217-904-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 DEVONSHIRE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207286",
            "telephone_number": "217-714-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMATREE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "RUSHING",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "217-904-3035",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffanyrushing@symatree.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "411 Devonshire Dr",
            "city": "Champaign",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618207286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Symatree LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Symatree LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.