Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiffany Jordan Smith

Individual provider Adult Psychiatric/Mental Health Registered Nurse · NPI 1639887185

Tiffany Jordan Smith is a Nurse Practitioner in Beachwood, Ohio. Qualified in 2023, 3 years ago. Practices with Debalzo, Elgudin Levine, Risen LLC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2022
Specialties on file
2

Practice location Address checks out

23425 Commerce Park Ste 104
Beachwood, OH 44122-5848
Phone: (216) 831-2900
Fax: (216) 831-4306
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0035137 (OH)
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X · Licence 452706 (OH)

Record details

NPI number1639887185
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2022
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025
Mailing address1372 Caryl Dr, Bedford, OH 44146

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Debalzo, Elgudin. Levine, Risen Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Beachwood