Judith Tangi, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R184959 Issued in MD

Practice address

8125 Mallard Shore Dr
Laurel, MD 20724-2967

Phone

(240) 838-4012

NPI assigned

Apr 28, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483

  DC

  Medicare reassignment NPD
• Pathway Health and Wellness LLC

  • Community/Behavioral Health Agency
  • Laurel, MD
  • NPI 1679382758
  NPD Authorized official
• G & E Behavioral Health Services, LLC

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1316554793
  NPD
• G & E Behavioral Health Services, LLC

  • Primary Care Nurse Practitioner
  • Baltimore, MD
  • NPI 1609468933
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1003437377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 MALLARD SHORE DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242967",
            "telephone_number": "240-838-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8125 MALLARD SHORE DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242967",
            "telephone_number": "240-838-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGI",
        "first_name": "JUDITH",
        "credential": "CRNP-PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R184959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtangi@umm.edu",
            "affiliation": "N",
            "endpointDescription": "jtangi@umm.edu",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8125 Mallard Shore Dr",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207242967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vanessa Tamnjong, HHA
• Clauvis N Tamukong
• Martin Cheh Tamukong, RN
• Maria Neh Tancho
• Juliete Tandap
• Tambe Tangiri Divine
• Roland Ayuhmbi Tanifum
• Pauline Besong Epse Tanjong
• Emmeline Tankoh
• Laden Tankut, PHARM D

• Psychiatric/Mental Health Nurse Practitioner in Laurel, MD
• Providers in Laurel, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.