Stephen Azeh Tanjang

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN1005996 Issued in DC

Practice address

9216 Hobart St
Springdale, MD 20774-5409

Phone

(240) 505-0787

NPI assigned

Oct 11, 2012

Last updated

Oct 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1104178466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9216 HOBART ST",
            "city": "SPRINGDALE",
            "state": "MD",
            "postal_code": "207745409",
            "telephone_number": "240-505-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9216 HOBART ST",
            "city": "SPRINGDALE",
            "state": "MD",
            "postal_code": "207745409",
            "telephone_number": "240-505-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANJANG",
        "first_name": "STEPHEN",
        "middle_name": "AZEH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1005996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springs Health LLC
• Atiya Stewart, LICSW
• Ernestine Tallah
• Cynthia Anubowoh Tangoalem
• Blanch Taniform Manjoh
• Carmalita Thomas
• Norman Anthony Thompson, MED, LCPC
• Fnu Nkegoah Tracy Tongwa
• Louis Ndoh Tse
• Up Behavioral Health LLC

• Licensed Practical Nurse in Springdale, MD
• Providers in Springdale, MD by specialty
• Licensed Practical Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.