Sue Ellen Tardif, BSN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

19148 Issued in WY

Practice address

1812 Silver Spur Rd
Cheyenne, WY 82009-1208

Phone

(307) 421-0396

NPI assigned

Jun 27, 2012

Sex

Female

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

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1104180850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 SILVER SPUR RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820091208",
            "telephone_number": "307-421-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 SILVER SPUR RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820091208",
            "telephone_number": "307-421-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDIF",
        "first_name": "SUE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "WY",
            "license": "19148",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WY",
            "license": "19148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Tabler
• Heather L Tafoya
• Russell J. Tafoya, MSW, LCSW
• Nora Ann Tamez
• Amanda Leigh Tanner, CNM
• Tatiana K Steele
• Courtney Jo Tatum
• Calob Lamar Taylor, LCSW
• Catherine Louise Teasley, R.N. BSN,MSNI
• Tehla Bates Stayer Dba Treasure Abilities Case Management Services

• Home Health Registered Nurse in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Home Health Registered Nurse in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.