Individual provider Active NPI

Tiffany Brisken, MSN, RN, PHN

  • Community Health Registered Nurse
  • Lake Elsinore, CA
National Provider Identifier
1962975953
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
95092200 Issued in CA
Practice address
18159 Ballard Ave
Lake Elsinore, CA 92530-6146
Phone
(818) 481-6588
NPI assigned
Jan 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 95092200 CA Primary

Addresses

Primary practice location

18159 Ballard Ave
Lake Elsinore, CA 92530-6146

Mailing address

18159 Ballard Ave
Lake Elsinore, CA 92530-6146
Phone (818) 481-6588

Other identifiers 1

IdentifierTypeStateIssuer
95092200OtherCABRN

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)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95092200CAMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1962975953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18159 BALLARD AVE",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925306146",
            "telephone_number": "818-481-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18159 BALLARD AVE",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925306146",
            "telephone_number": "818-481-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISKEN",
        "first_name": "TIFFANY",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "95092200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRN",
            "identifier": "95092200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.