Individual provider Active NPI

Tiffany Lashae-Della Sims, NP

  • Family Nurse Practitioner
  • Desoto, TX
National Provider Identifier
1861201501
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1046643 Issued in TX
Practice address
1001 Robbie Mince Way
Desoto, TX 75115-2012
Phone
(972) 709-7190
NPI assigned
Jan 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1046643 TX Primary

Addresses

Primary practice location

1001 Robbie Mince Way
Desoto, TX 75115-2012

Mailing address

184 Antler TRL
Forney, TX 75126-4202
Phone (310) 310-4783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250729001756 TX Practitioner - Nurse Practitioner 6406363019 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Lung and Sleep Consultants, PLLC CurrentSince Aug 12, 2025 Accepting new patients
Superior Healthcare Services LLC Family CurrentSince Jun 23, 2025 Accepting new patients
S&S Wound Care Specialists, PLLC PastSince Jun 8, 2025 Accepting new patients
Southwest Texas Two Medical Group, PLLC Past Accepting new patients

Locations

1001 Robbie Mince Way
Desoto, TX 75115
Phone (972) 709-7190

3348 Peden Rd
Ste 401
Fort Worth, TX 76179
Phone (817) 488-6369

512 W Bonds Ranch Rd
Ste 150
Fort Worth, TX 76131
Phone (817) 488-6369

Organizations & group practices 4

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": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1861201501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 ANTLER TRL",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751264202",
            "telephone_number": "310-310-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ROBBIE MINCE WAY",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152012",
            "telephone_number": "972-709-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "TIFFANY",
        "middle_name": "LASHAE-DELLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1046643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.