Headshot of Tiffany Street

Tiffany Street

DNP, ACNP-BC, FAANP


Vice President, Care Transformation Services

As Vice President of Care Transformation Services at MedAxiom, Tiffany brings more than two decades of experience in healthcare leadership, cardiovascular operations, advanced practice, education and clinical care. Her expertise includes cardiovascular strategy and service line growth, ambulatory operations, advanced practice provider (APP) strategy, care model design, workforce optimization and organizational change. She has led initiatives focused on improving patient access, clinical quality, operational performance and organizational effectiveness across cardiovascular and surgical service lines.

Prior to joining MedAxiom, Tiffany served as Associate Nursing Officer for the Vanderbilt Heart and Vascular Institute, providing executive leadership for ambulatory cardiovascular operations while maintaining an active clinical practice in vascular surgery. In this role, she led strategic growth, workforce optimization, care model redesign and operational improvement initiatives, including the expansion of specialty services, integration of new practices and development of clinical programs and scalable care models.

Previously, as Director of Advanced Practice at Vanderbilt, Tiffany spent more than a decade building and advancing APP programs. Recognized as a pioneer in advanced practice leadership, she expanded the cardiovascular APP workforce, established specialty inpatient teams, developed leadership and professional development frameworks, and created infrastructure to support advanced practice growth and innovation. 

Tiffany earned a Doctor of Nursing Practice and Master of Science in Nursing from Vanderbilt University School of Nursing and is a board-certified Acute Care Nurse Practitioner. She also serves as an Assistant Professor at Vanderbilt University School of Nursing, supporting the development of future healthcare leaders through education, mentorship and workforce development.

As a Fellow of the American Association of Nurse Practitioners, Tiffany has contributed to peer-reviewed publications and book chapters and has delivered invited presentations on advanced practice leadership, care transformation, workforce strategy, cardiovascular care and healthcare operations. She also serves as President-Elect of the Tennessee Nurses Association and has held national leadership positions, including President of the Society for Vascular Nursing.

Areas of Expertise

  • Cardiovascular strategy and service line growth
  • Ambulatory operations and practice management
  • APP strategy and infrastructure
  • Care transformation and clinical innovation
  • Clinical care model design and optimization
  • Workforce development and optimization
  • Leadership development
  • Organizational change management
  • Clinical program development and implementation
  • Interdisciplinary care coordination
  • Quality improvement
  • Patient access, experience and engagement

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