MRS. TIFFANY SIMPSON DESIMONE APRN - NPI 1598832396 - Nurse Practitioner in Louisville, KY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Mrs. Tiffany Simpson Desimone Aprn NPPES

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

MRS. TIFFANY SIMPSON DESIMONE APRN (NPI 1598832396) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (5060P) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1598832396

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. TIFFANY SIMPSON DESIMONECredential: APRN

Location Address9113 LEESGATE RDLouisville, KY 40222-5003

Mailing Address9113 Leesgate RdLouisville, KY 40222-5003 · (502) 426-1621 · Fax (502) 426-7906

Phone(502) 426-1621

Fax(502) 426-7906

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateMay 6, 2015

✔ NPI 1598832396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 5060P

Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 5060P (KY)

9113 LEESGATE RD, Louisville, KY 40222

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Other Names 1

Former Name (1)Miss Tiffany L Simpson Arnp

Other Identifiers 7

Medicare PIN0225912KY

Other000000501202KY · Anthem

Medicare UPINQ76732KY

Other3005060PKY · Aprn License

Other50015028KY · Passport

Medicaid200853030IN

Medicaid78017936KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARTHUR H ALTHAUS MD

Specialist