Active NPI
Tangi Wellness & Health
- Rural Health Clinic/Center
- Hammond, LA
National Provider Identifier
1164073524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kelly@tangiwellness.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Clinton, LA
- NPI 1205124310
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.