Active NPI
Tiffany A Sandy, APN
- Pediatric Nurse Practitioner
- Henderson, NV
National Provider Identifier
1912299611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 001271
- Practice address
- 2621 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-2895 - Phone
- (702) 263-1908
- Fax
- (702) 263-0195
- NPI assigned
- May 12, 2011
- Last updated
- May 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 001271 | NV | Primary |
Addresses
Primary practice location
2621 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-2895
Mailing address
2621 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-2895
Phone (702) 263-1908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001271 | NV | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Children's Hospital | Past | Accepting new patients | |
| Providence Health & Services Washington | Past | Accepting new patients |
Interoperability endpoints
- tsandy13825@direct.seattlechildrens.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Olympia, WA
- NPI 1346250594
-
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- Bothell, WA
- NPI 1245383348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1912299611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 W HORIZON RIDGE PKWY",
"address_2": "SUITE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522895",
"telephone_number": "702-263-1908",
"fax_number": "702-263-0195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 W HORIZON RIDGE PKWY",
"address_2": "SUITE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522895",
"telephone_number": "702-263-1908",
"fax_number": "702-263-0195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDY",
"first_name": "TIFFANY",
"middle_name": "A",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-12",
"last_updated": "2011-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NV",
"license": "001271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.