Individual provider Active NPI

Tiffanny Roberta Rose, FNP-C

  • Family Nurse Practitioner
  • Northampton, MA
National Provider Identifier
1972285674
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2381583 Issued in MA
Practice address
30 Locust St
Northampton, MA 01060-2093
Phone
(413) 582-2000
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 RN2381583 MA Primary

Addresses

Primary practice location

30 Locust St
Northampton, MA 01060-2093

Mailing address

40 Keyes St
Florence, MA 01062-1443
Phone (517) 442-7396

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
I20240312001391 MA Practitioner - Nurse Practitioner 1456797554 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Mass General Brigham Urgent Care LLCGroup PAC ID 9436470119, 106 clinicians

Practice addresses (Care Compare)

1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950

1285 Beacon St
Brookline, MA 02446-5237
Phone (888) 980-0505

137 Stuart St
Suite A7
Boston, MA 02116-5609
Phone (617) 393-5059

30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2898

71 Needham St
Newton, MA 02461-1663
Phone (857) 598-4460

Hospital & facility affiliations

  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2381583MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Urgent Care LLC CurrentSince Aug 11, 2025 Accepting new patients
Cooley Dickinson Hospital Inc Current Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Aug 11, 2025 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Apr 1, 2026 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jan 14, 2024 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Sep 28, 2024 Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

170 University Dr
Amherst, MA 01002
Phone (413) 461-3530

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

489 Bernardston Rd
Greenfield, MA 01301
Phone (413) 772-2571

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

Interoperability endpoints

  • Direct secure messaging: rose.tiffanny.cdh@direct.partners.masshiway.net

Organizations & group practices 8

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 3

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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1972285674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 KEYES ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621443",
            "telephone_number": "517-442-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LOCUST ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602093",
            "telephone_number": "413-582-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "TIFFANNY",
        "middle_name": "ROBERTA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2381583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.