Organization Active NPI

Tangi Wellness & Health

  • Rural Health Clinic/Center
  • Hammond, LA
National Provider Identifier
1164073524
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TANGI WELLNESS & HEALTH
Practice address
906 C M Fagan Dr Ste B3
Hammond, LA 70403-6056
Phone
(985) 345-1555
Fax
(985) 345-1558
NPI assigned
Sep 26, 2019
Last updated
Jan 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Kelly Oller
Title
Practice Administrator
Phone
(985) 345-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

906 C M Fagan Dr Ste B3
Hammond, LA 70403-6056

Mailing address

906 C M Fagan Dr Ste B3
Hammond, LA 70403-6056
Phone (985) 345-1555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelly@tangiwellness.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

906 C M Fagan Dr
Ste B3
Hammond, LA 70403
Phone (985) 345-1555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1164073524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 C M FAGAN DR STE B3",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036056",
            "telephone_number": "985-345-1555",
            "fax_number": "985-345-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 C M FAGAN DR STE B3",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036056",
            "telephone_number": "985-345-1555",
            "fax_number": "985-345-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGI WELLNESS & HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "OLLER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "985-345-1555"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly@tangiwellness.com",
            "affiliation": "N",
            "endpointDescription": "secured email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "906 C M Fagan Dr Ste B3",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704036056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.