Tiffany Bovard, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

347768 Issued in NY

Practice address

2123 River Rd
Schenectady, NY 12309-1135

Phone

(518) 381-1121

Fax

(518) 381-3930

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Carenet Medical Group, PC

  • Obstetrics & Gynecology Physician
  • Schenectady, NY
  • NPI 1194785527
  Medicare reassignment NPD
• Robert H Dropkin MD Laura a Costello MD OB-GYN LLP

  • Obstetrics & Gynecology Physician
  • Albany, NY
  • NPI 1972618494
  Medicare reassignment
• PM Pediatrics of Mamaroneck

  • Urgent Care Clinic/Center
  • Mamaroneck, NY
  • NPI 1073645180
  NPD (past)
• PM Pediatrics PC

  • Urgent Care Clinic/Center
  • Syosset, NY
  • NPI 1730212390
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1831766104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 RIVER RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123091135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 RIVER RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123091135",
            "telephone_number": "518-381-1121",
            "fax_number": "518-381-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVARD",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel John Borgia, NP
• Michelle Balagulan Borra, NP
• Patricia Andrea Boslet
• Diane R Bossung, LCSW-R
• Kimberly Bourgeois, OT
• Nekeita Bowlin, LPN
• Daniel J Bowman, MD
• Barbara A Boyd, PT
• Peter Bozavikov, DDS
• Kayla Rose Bracey, MD

• Family Nurse Practitioner in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.