TIFFANY NICHOLE RUSSAW APRN
NPI 1477988095
Registered Nurse - Psychiatric/Mental Health, Adult in Las Vegas, NV

Q: What is Tiffany Russaw's NPI number?

The NPI number for Tiffany Russaw is 1477988095. It was assigned to this individual provider in the NPPES registry on September 13, 2013. The provider is also known as Tiffany Nichole Payne Aprn.

Q: What is Tiffany Russaw's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Russaw was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 13, 2013PECOS Enrolled

330 CASINO CENTER BLVD, LAS VEGAS, NV 89101(702) 671-5637(702) 366-0576 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Tiffany Nichole Russaw Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY NICHOLE RUSSAW APRN (NPI 1477988095) is an individual psychiatric/mental health, adult provider in Las Vegas, Nevada, licensed in Nevada (APRN001581) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477988095

Entity TypeIndividualFemale

Primary Taxonomy163WP0809X

Provider Legal NameTIFFANY NICHOLE RUSSAWCredential: APRN

Location Address330 CASINO CENTER BLVDLas Vegas, NV 89101

Mailing Address300 S 4th St Ste 2110Las Vegas, NV 89101-6014 · (216) 544-4565

Phone(702) 671-5637

Fax(702) 366-0576

Sole ProprietorYes

Enumeration DateSeptember 13, 2013

Last NPPES UpdateOctober 28, 2025

NPPES CertifiedOctober 28, 2025

✔ NPI 1477988095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers

Taxonomy Code163WP0809X

License✔ Licensed in NV · APRN001581

Also ListedRegistered NurseTaxonomy 163W00000X · License RN75931 (NV)

330 CASINO CENTER BLVD, Las Vegas, NV 89101

Open in Google Maps ↗

Other Names 1

Former Name (1)Tiffany Nichole Payne Aprn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Nichole Russaw Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Russaw's NPI number?

The NPI number for Tiffany Russaw is 1477988095. It was assigned to this individual provider in the NPPES registry on September 13, 2013. The provider is also known as Tiffany Nichole Payne Aprn.

Where is Tiffany Russaw located?

Tiffany Russaw practices at 330 Casino Center Blvd, Las Vegas, NV 89101. The listed phone number is (702) 671-5637.

What is Tiffany Russaw's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Is Tiffany Russaw enrolled in Medicare?

Yes. Tiffany Russaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffany Russaw was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.