Individual provider Active NPI

Tanya Linette Calhoun, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1053753194
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R874401 Issued in MS
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(601) 815-2020
Fax
(601) 815-2036
NPI assigned
Jul 17, 2013
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R874401 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R874401 MS Primary

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-2020

Other practice location 1

1171 Hart Street
Canton, MS 39046
Phone (601) 859-9888

Other names 1

  • Tanya Linette Calhoun Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140214000525 MS Practitioner - Nurse Practitioner 3577792597 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15921 Boundary Dr
Ashland, MS 38603-7740
Phone (662) 224-8951

2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-4775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R874401MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Rankin Simpson Mental Health CurrentSince Jun 1, 2019 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Mar 20, 2020 Accepting new patients
North Mississippi Primary Health Care, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Community Care Health Network LLC CurrentSince Aug 1, 2021 Accepting new patients
At Home Care Community Outreach CurrentSince Apr 1, 2022 Accepting new patients
North Mississippi Primary Health Care, Inc. Current Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Mar 20, 2020 Accepting new patients
North Mississippi Primary Health Care, Inc. CurrentSince Dec 1, 2020 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

613 Marquette Rd
Brandon, MS 39042
Phone (601) 824-0342

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

2500 N State St
Ste 4200
Jackson, MS 39216

306 Church St
Port Gibson, MS 39150
Phone (601) 437-3524

Interoperability endpoints

  • Direct secure messaging: tanya.calhoun.1@28179.direct.athenahealth.com
  • Direct secure messaging: tcalhoun38015@ummc.direct-ci.com

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1053753194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-815-2020",
            "fax_number": "601-815-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-815-2020",
            "fax_number": "601-815-2036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1171 Hart Street",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MS",
            "postal_code": "39046",
            "country_code": "US",
            "telephone_number": "601-859-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "TANYA",
        "middle_name": "LINETTE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R874401",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R874401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "CALHOUN",
            "middle_name": "LINETTE",
            "credential": "PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.