Active NPI
Tanya May Clary, CNS
- Clinical Nurse Specialist
- Carmel, IN
National Provider Identifier
1144657123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 28169284A
- Practice address
- 11725 N. Illinois St
Suite 350
Carmel, IN 46032-3009 - Phone
- (317) 688-2647
- Fax
- (317) 688-2921
- NPI assigned
- Oct 4, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 28169284A | IN | Primary |
Addresses
Primary practice location
11725 N. Illinois St
Suite 350
Carmel, IN 46032-3009
Mailing address
250 N Shadeland Ave
Suite 130
Indianapolis, IN 46219-4959
Phone (317) 963-0860
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
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28169284A | IN | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1144657123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"address_2": "SUITE 130",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959",
"telephone_number": "317-963-0860",
"fax_number": "317-963-1453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11725 N. ILLINOIS ST",
"address_2": "SUITE 350",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323009",
"telephone_number": "317-688-2647",
"fax_number": "317-688-2921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARY",
"first_name": "TANYA",
"middle_name": "MAY",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-04",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "IN",
"license": "28169284A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.