Individual provider Active NPI

Tanya L Sigmon, P.A.

  • Physician Assistant
  • Roanoke, VA
National Provider Identifier
1114004405
Registry record updated Dec 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002416 Issued in VA
Practice address
3707 Brambleton Ave
Suite #2
Roanoke, VA 24018-3658
Phone
(540) 725-7800
Fax
(540) 989-6752
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002416 VA Primary

Addresses

Primary practice location

3707 Brambleton Ave
Suite #2
Roanoke, VA 24018-3658

Mailing address

379 Walnut Ave SW
Apt #3
Roanoke, VA 24016-4620
Phone (540) 915-6576

Other identifiers 1

IdentifierTypeStateIssuer
010349486MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070308000303 VA Practitioner - Physician Assistant 9234232430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

2001 Crystal Spring Ave SW
Roanoke, VA 24014-2465

2001 Crystal Spring Swave
Roanoke, VA 24014-2465

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925

2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Roanoke, VA, CCN 497429
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Sovah Health Danville Hospital, Danville, VA, CCN 490075
  • Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110002416VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Oct 3, 2010 Accepting new patients
Carilion Medical Center CurrentSince Oct 3, 2010 Accepting new patients
Carilion Medical Center Past Accepting new patients
Carilion Healthcare Corporation Past Accepting new patients

Locations

3707 Brambleton Ave
Roanoke, VA 24018
Phone (540) 725-7800

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

1009 Old Country Club Rd NW
Roanoke, VA 24017
Phone (540) 344-6248

3707 Brambleton Ave
Ste 2
Roanoke, VA 24018
Phone (540) 725-7800

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

Interoperability endpoints

  • Direct secure messaging: tsigmon22132@direct.carilionclinic.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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228521600000",
    "number": "1114004405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 WALNUT AVE SW",
            "address_2": "APT #3",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164620",
            "telephone_number": "540-915-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 BRAMBLETON AVE",
            "address_2": "SUITE #2",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183658",
            "telephone_number": "540-725-7800",
            "fax_number": "540-989-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGMON",
        "first_name": "TANYA",
        "middle_name": "L",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010349486",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.