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MRS. TIFFANY SIMPSON DESIMONE APRN NPI 1598832396


NPI Information

NPI: 1598832396
Provider Name: MRS. TIFFANY SIMPSON DESIMONE, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
9113 LEESGATE RD
LOUISVILLE, KY
ZIP 40222
Phone: (502) 426-1621
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MRS. Tiffany Simpson Desimone, APRN is a family nurse practitioner in Louisville, KY. MRS. Tiffany Simpson Desimone, APRN NPI is 1598832396. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9113 LEESGATE RD
LOUISVILLE, KY
ZIP 40222-003
Phone: (502) 426-1621
Fax: (502) 426-7906

The enumeration date for this NPI number is 11/29/2006 and was last updated on 5/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & Immunology5060PKENTUCKYNo
2363LF0000XNurse PractitionerFamily5060PKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10225912MEDICARE PINKENTUCKY
2000000501202OTHERKENTUCKYANTHEM
3Q76732MEDICARE UPINKENTUCKY
43005060POTHERKENTUCKYAPRN LICENSE
550015028OTHERKENTUCKYPASSPORT
6200853030MEDICAIDINDIANA
778017936MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.