MRS. TIFFANY SIMPSON DESIMONE (NPI# 1598832396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598832396 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY SIMPSON DESIMONE |
| Other Name | MISS TIFFANY L SIMPSON |
| Credential | APRN |
| Practice Address |
9113 Leesgate Rd Louisville KY 40222-5003 |
| Practice Telephone | 5024261621 |
| Practice Fax Number | 5024267906 |
| Mailing Telephone | 5024261621 |
| Mailing Fax Number | 5024267906 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2015-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 5060P | KY | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5060P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | APRN LICENSE | 3005060P | 01 |
| KY | PASSPORT | 50015028 | 01 |
| IN | 200853030 | 05 | |
| KY | 78017936 | 05 | |
| KY | ANTHEM | 000000501202 | 01 |
| Street Address |
9113 LEESGATE RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40222-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619960481 | Arthur H Althaus | Specialist | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2005-08-26 |
| 1649547415 | Laura Elizabeth Wilhem Manley | Nurse Practitioner | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2011-11-22 |
| 1700014917 | Michael Sanford Nall | Specialist | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2009-06-25 |
| 1730274929 | Douglas Bazil Tzanetos | Allergy & Immunology | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2006-10-04 |
| 1790891125 | Kentuckiana Allergy Psc | Nurse Practitioner | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2006-08-21 |
| 1316933781 | Jeremy Dwayne Jones | Allergy & Immunology | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2005-09-21 |
| 1629063763 | Lori A Fields | Nurse Practitioner | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2005-09-14 |
| 1194718858 | Daniel P Garcia | Allergy & Immunology | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2005-08-29 |
| 1245223981 | John G Riehm | Allergy & Immunology | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2005-08-29 |
| 1912990573 | Stuart W White | Allergy & Immunology | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2005-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
| 1982162509 | Sydney Sleadd | Massage Therapist | 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 | 2019-03-04 |
| 1205390127 | Rebecca A Street | Marriage & Family Therapist | 8134 New La Grange Rd Ste 227, Louisville, KY 40222 | 2019-01-24 |
| 1689176166 | Andrew Pennington | Social Worker | 1015 Dorsey Ln., Louisville, KY 40222 | 2018-03-01 |
| 1578085957 | Megan Lusco | Case Manager/Care Coordinator | 312 Whittington Parkway, Suite 020, Louisville, KY 40222 | 2017-07-07 |
| 1083149868 | Kate Oliver Ray | Optometrist | 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 | 2017-04-28 |
| 1578094736 | Jacqueline Ward | Speech-Language Pathologist | 910 Fenley Avenue, Louisville, KY 40222 | 2017-03-21 |
| 1295195907 | Carol Massey | Psychologist | 7400 Newlagrange Roed, 308, Louisville, KY 40222 | 2016-02-24 |
| 1588047260 | Melissa Cosby | Case Manager/Care Coordinator | 312 Whittington Parkway Suite 020, Louisville, KY 40222 | 2015-06-30 |
| Find all providers in zip 40222 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40222 |
Please comment or provide details below to improve the information on MRS. TIFFANY SIMPSON DESIMONE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.