Tanya R Obermyer, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.312993 Issued in OH

Practice address

16061 Middleton Pike
Bowling Green, OH 43402-9445

Phone

(419) 823-3051

NPI assigned

Dec 9, 2011

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1144598756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16061 MIDDLETON PIKE",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029445",
            "telephone_number": "419-823-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16061 MIDDLETON PIKE",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029445",
            "telephone_number": "419-823-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERMYER",
        "first_name": "TANYA",
        "middle_name": "R",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.312993",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704251380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nursing Service LPN
• Isabella Nyiri
• Tamara M O'Brien, LISW
• Brian M O'Neill, DDS
• Patrick B. O'Shea, DC
• Debra Lynn Oborck, PT
• William Hayes Obrien, PH.D.
• Emily Oehrtman
• Ohio CVS Stores LLC
• Ohio Dental Associates--Judge Inc

• All providers in Bowling Green, OH
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.