Emelin Joy Tan, BSN RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

4704110934 Issued in MI

Practice address

136 N 1St St
Harbor Beach, MI 48441-1101

Phone

(989) 479-3101

Fax

(989) 479-3529

NPI assigned

Nov 17, 2009

Last updated

Nov 17, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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.

• Concerned Home Care Outsourcing, LLC

  dba Concerned Outpatient Therapy

  • Clinic/Center
  • Harbor Beach, MI
  • NPI 1447481064
  Authorized official Same address or phone

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1083941744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N 1ST ST",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484411101",
            "telephone_number": "989-479-3101",
            "fax_number": "989-479-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N 1ST ST",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484411101",
            "telephone_number": "989-479-3101",
            "fax_number": "989-479-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "EMELIN",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "BSN RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MI",
            "license": "4704110934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Andrew Rayl, RPH.
• Candice Pauline Rivera-Tenerife, BSN RN
• Yasmin Sahul, MD
• Jon F Seaver
• Serving Through Surgery PC
• Jaime F Tan, MD
• Faith Tanag, PT
• Rene Nanquil Tenerife, BSN RN
• Adam Bradley Wilcox
• Janeane N Wilson, PHARM.D.

• Administrator Registered Nurse in Harbor Beach, MI
• Providers in Harbor Beach, MI by specialty
• Administrator Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.