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General NPI Number Information
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NPI Number | 1114883774
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Entity Type | Individual
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Provider Name | TIFFANY ANNETTE IVEY RN
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Gender | Female
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 12001 142ND ST
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City | JAMAICA
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State | NY
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Zip | 11436-1412
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Country | US
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Telephone | 718-909-5838
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Fax |
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Provider Business Mailing Address
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Address Line | 12001 142ND ST
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City | JAMAICA
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State | NY
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Zip | 11436-1412
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Country | US
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Telephone | 718-909-5838
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 751755
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 751755
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 751755
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 751755
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 751755
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 163WR1000X
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Taxonomy Name | Reproductive Endocrinology/Infertility Registered Nurse
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License Number | 751755
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 751755
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License Number State | NY
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Taxonomy #9
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Taxonomy Code | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number | 751755
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License Number State | NY
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Taxonomy #10
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 751755
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License Number State | NY
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Taxonomy #11
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 751755
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License Number State | NY
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Taxonomy #12
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Taxonomy Code | 163WN0003X
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Taxonomy Name | Low-Risk Neonatal Registered Nurse
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License Number | 751755
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License Number State | NY
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Taxonomy #13
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 751755
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License Number State | NY
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Taxonomy #14
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Taxonomy Code | 163WX0002X
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Taxonomy Name | High-Risk Obstetric Registered Nurse
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License Number | 751755
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License Number State | NY
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Taxonomy #15
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 751755
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License Number State | NY
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