Vanessa H McTague

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

103781 Issued in AK

Practice address

398 Hamilton Ave
Fairbanks, AK 99701-3537

Phone

(907) 374-4911

NPI assigned

Nov 19, 2015

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

Other names 1

• Vanessa Hernandez Meza Other name

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": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1124492814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 HAMILTON AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013537",
            "telephone_number": "907-374-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 HAMILTON AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013537",
            "telephone_number": "907-374-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTAGUE",
        "first_name": "VANESSA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AK",
            "license": "103781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "HERNANDEZ MEZA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Macaire Judith McNamara
• Cassandra Lynn McNeely, RN
• Carly Dale McQueen, PA-C
• Tirrell Jabbar McRavin, YC
• McKayla McReaken
• Christi LB McWilliams, L.D.O.
• Joseph C McWilliams
• Amber Rose Meacham
• Isaac Meadows
• Stephanie Carol Meath, BSW

• Physical Therapy Assistant in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Physical Therapy Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.