Active NPI
Tanja Gromala
- School Counselor
- Kingman, AZ
National Provider Identifier
1134313729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- Practice address
- 3175 Gordon Dr
Kingman, AZ 86409-3303 - Phone
- (928) 757-4328
- NPI assigned
- Aug 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | AZ | Primary |
Addresses
Primary practice location
3175 Gordon Dr
Kingman, AZ 86409-3303
Mailing address
3175 Gordon Dr
Kingman, AZ 86409-3303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1134313729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3175 GORDON DR",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3175 GORDON DR",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093303",
"telephone_number": "928-757-4328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROMALA",
"first_name": "TANJA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.