Tiffany Nicole Cassidy · Critical Care Pediatric Nurse Practitioner

1200 E Michigan Ave Ste 460, Lansing, MI 48912-1897

Overview

Tiffany Nicole Cassidy is a Critical Care Pediatric Nurse Practitioner practicing in Lansing, Michigan. The National Provider Identifier (NPI) is #1932629979, which was assigned on June 21, 2017, and the registration record was last updated on October 19, 2023. The practitioner's main practice location is at 1200 E Michigan Ave Ste 460, Lansing, MI 48912-1897; the contact telephone number is 5173645490. The primary taxonomy of Tiffany Nicole Cassidy is Critical Care Pediatric Nurse Practitioner (363LP0222X), with specialization in Pediatrics, Critical Care. Tiffany Nicole Cassidy is licensed to practice in the state of Michigan (#4704304030).

Provider Information

NPI 1932629979
Entity Type Individual
Provider Name TIFFANY NICOLE CASSIDY
Gender Female
Credential MSN, RN, CPNP-AC
Practice Address 1200 E Michigan Ave Ste 460
Lansing
MI 48912-1897
Practice Telephone 5173645490
Mailing Address 1200 E Michigan Ave Ste 460
Lansing
MI 48912-1897
Mailing Telephone 5173645490
Mailing Fax Number 5173645499
Certification Date 2023-10-19
Enumeration Date 2017-06-21
Last Update Date 2023-10-19
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 2769751148
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name TIFFANY NICOLE CASSIDY
Primary Specialty NURSE PRACTITIONER
Organization Legal Name COVENANT MEDICAL CENTER INC
Address 3037 Silverwood Dr
Saginaw
MI 48603-2171

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363LP0222XNurse PractitionerPediatrics, Critical Care4704304030MI

Taxonomy Information

Primary Taxonomy

Code 363LP0222X
Taxonomy Critical Care Pediatric Nurse Practitioner
Classification Nurse Practitioner
Specialization Pediatrics, Critical Care
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Cassandra Lee Clindaniel 48469 County 13 Blvd, Kenyon, MN 55946-3945Critical Care Pediatric Nurse Practitioner2023-08-29
Dana Timar 9145 Narcoossee Rd, Orlando, FL 32827-5768Critical Care Pediatric Nurse Practitioner2023-07-17
Stacey Paule 112 N 82nd St, Belleville, IL 62223-2121Critical Care Pediatric Nurse Practitioner2024-09-18
Ashley Williams 602 Indiana Ave, Lubbock, TX 79415-3364Critical Care Pediatric Nurse Practitioner2023-12-21
Hannah Wegener 3775 45th Ave, Columbus, NE 68601-4427Critical Care Pediatric Nurse Practitioner2023-10-25
Sydnie Dietz Soyka 550 6th Street South, St Petersburg, FL 33701Critical Care Pediatric Nurse Practitioner2023-01-13
Erica Lynn Meleca 100 Michigan St Ne Ste D9220, Grand Rapids, MI 49503-2560Critical Care Pediatric Nurse Practitioner2023-08-04
Leane Renee Matz 919 Gillette St Apt 1080, Houston, TX 77019-2725Critical Care Pediatric Nurse Practitioner2023-12-11
Kaitlin O'Dea 1675 W Dempster St, Park Ridge, IL 60068-1110Critical Care Pediatric Nurse Practitioner2024-10-17
Bethany Elliott 420 30th St, Bakersfield, CA 93301-2514Critical Care Pediatric Nurse Practitioner2024-07-29
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Location Information

Street Address 1200 E MICHIGAN AVE STE 460
City LANSING
State MI
Zip Code 48912-1897
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Shannon Marie Zaporski 1200 E Michigan Ave Ste 460, Lansing, MI 48912-1897Registered Dietitian2022-02-24
Whitney Beam 1200 E Michigan Ave Ste 460, Lansing, MI 48912-1897Family Nurse Practitioner2020-09-03
Edward W Sparrow Hospital Association 1200 E Michigan Ave Ste 460, Lansing, MI 48912-1897Pediatrics Physician2015-01-26
Benny Lopez 1200 E Michigan Ave Ste 460, Lansing, MI 48912-1897Physician Assistant2016-08-10
Stephanie Grondahl · Stephanie Jarnagin 1200 E Michigan Ave Ste 460, Lansing, MI 48912-1897General Practice Physician2014-02-02

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jennifer Lynne Ford 1200 E Michigan Ave Ste 145, Lansing, MI 48912-1897Family Nurse Practitioner2021-08-26
Edward W. Sparrow Hospital Association 1200 E Michigan Ave Ste 370, Lansing, MI 48912-1897Infectious Disease Physician2021-07-14
Amy Miller Romain 1200 E Michigan Ave Ste 245, Lansing, MI 48912-1897Clinical Social Worker2020-09-10
Msu Health Care Inc 1200 E Michigan Ave Ste 145, Lansing, MI 48912-1897Psychologist2020-03-12
Amjed Waheed Elrayah Osman 1200 E Michigan Ave Ste 245, Lansing, MI 48912-1897Student in an Organized Health Care Education/Training Program2023-04-12
Amira Mohamed Ahmed Othman 1200 E Michigan Ave Ste 145, Lansing, MI 48912-1897Pediatrics Physician2021-06-01
Msu Health Care Inc. 1200 E Michigan Ave Ste 145, Lansing, MI 48912-1897Genetic Counselor (M.S.)2020-02-10
Batoul Ali Aljamal 1200 E Michigan Ave Ste 145, Lansing, MI 48912-1897Pediatrics Physician2019-03-27
Sarah Zubair 1200 E Michigan Ave Ste 415, Lansing, MI 48912-1897Student in an Organized Health Care Education/Training Program2020-05-11
Daniel Edward Hillman 1200 E Michigan Ave Ste 245, Lansing, MI 48912-1897Family Medicine Physician2018-07-12
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Robert Braxton Anderson Sparrow Hospital, 1215 E Michigan Ave, Lansing, MI 48912Psychiatry Physician2021-06-28
Naveed Mazhar 1200 E. Michigan Avenue, Suite 510, Lansing, MI 48912Internal Medicine Physician2021-07-11
Andrea Mcswain Do PC 1909 E. Michigan Ave, Lansing, MI 48912Obstetrics & Gynecology Physician2018-12-10
Nicolette Crichlow Sparrow Hospital, 1322 E Michigan Ave, Lansing, MI 48912Family Medicine Physician2023-06-19
Ashley Dhawan 1215 E Michigan Avenue Suite 245, Lansing, MI 48912Family Medicine Physician2020-05-21
Shelley Gabel 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912Surgery Physician2020-06-23
Omotola Nofisat Akinade · Omotola Nofisat Shekoni 1200 E Michigan, Suite 245, Lansing, MI 48912Student in an Organized Health Care Education/Training Program2023-04-13
Anisha Timilsina 1332 E. Michigan Avenue, Suite 202b, Lansing, MI 48912Student in an Organized Health Care Education/Training Program2021-07-14
Sparrow Specialty Hospital 1215 E. Michigan Ave, 8w Tower, Lansing, MI 48912Internal Medicine Physician2018-04-04
Sarah Tomakich 2272 E Michigan Ave, Suite 223, Lansing, MI 48912Clinical Social Worker2022-03-02
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.