Individual provider Active NPI

Tiffany Marie D'Ortona, CNP

  • Family Nurse Practitioner
  • Medford, MA
National Provider Identifier
1871112581
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2301162 Issued in MA
Practice address
85 High St
Medford, MA 02155-3825
Phone
(781) 396-4770
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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 2301162 MA Primary

Addresses

Primary practice location

85 High St
Medford, MA 02155-3825

Mailing address

85 High St
Medford, MA 02155-3825
Phone (781) 396-4770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffany.damaso@minuteclinic.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20200625001003 MA Practitioner - Nurse Practitioner 1153743802 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2301162MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Acton Medical Associates, PC CurrentSince Nov 16, 2020 Accepting new patients
Winchester Physician Associates, Inc CurrentSince Jan 9, 2023 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Dec 1, 2024 Accepting new patients
Winchester Physician Associates Past Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. PastSince Jan 9, 2023 Accepting new patients

Locations

45 Discovery Way
Acton, MA 01720

321 Main St
Acton, MA 01720
Phone (978) 263-1131

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

203 Main St
North Reading, MA 01864
Phone (978) 664-1990

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

500 Salem St
Ste 2
Wilmington, MA 01887
Phone (978) 664-1990

Interoperability endpoints

  • FHIR API: https://fhir.laheyhealth.org/proxy-prd-fhir/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBBCD
  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1871112581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553825",
            "telephone_number": "781-396-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553825",
            "telephone_number": "781-396-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ORTONA",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2301162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany.damaso@minuteclinic.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "85 High St",
            "city": "Medford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021553825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.