Active NPI
Marie Tamanji, APNP
- Psychiatric/Mental Health Nurse Practitioner
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 6957-33
- Practice address
- 210 W Capitol Dr
Milwaukee, WI 53212-1123 - Phone
- (414) 727-6320
- Fax
- (414) 727-6329
- NPI assigned
- Jun 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 6957 | WI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 6957-33 | WI | Primary |
Addresses
Primary practice location
210 W Capitol Dr
Milwaukee, WI 53212-1123
Mailing address
711 W Capitol Dr
Milwaukee, WI 53206-3328
Phone (414) 727-6320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6957-33 | Other | WI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170405001275 | WI | Practitioner - Nurse Practitioner | 3375829369 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6957 | WI | MD | Nurse Practitioner |
| 6957-33 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Muslim Community and Health Center of Wisconsin Inc | Current | Accepting new patients | |
| Comprehensive Podiatry Services | Current | Accepting new patients |
Locations
10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700
210 W Capitol Dr
Glendale, WI 53212
803 W Layton Ave
Milwaukee, WI 53221
Phone (414) 253-8330
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Interoperability endpoints
- mtamanji724236@direct.ochin.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
WI
-
- Community Health Clinic/Center
- Milwaukee, WI
- NPI 1962850768
WI
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Psychiatric Hospital Unit
- Milwaukee, WI
- NPI 1811926132
-
- Foot & Ankle Surgery Podiatrist
- Milwaukee, WI
- NPI 1134885809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1073963773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 W CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532063328",
"telephone_number": "414-727-6320",
"fax_number": "414-727-6329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532121123",
"telephone_number": "414-727-6320",
"fax_number": "414-727-6329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMANJI",
"first_name": "MARIE",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-14",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "6957",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "6957-33",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "6957-33",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.