Active NPI
Lilian Shun Ning Tang
- Hand Occupational Therapist
- Saint Paul, MN
National Provider Identifier
1164614350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 103467
- Practice address
- 280 Smith Ave N Ste 120
Saint Paul, MN 55102-2579 - Phone
- (651) 241-7560
- NPI assigned
- Aug 13, 2007
- Last updated
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 103467 | MN | |
| Hand Occupational Therapist | 225XH1200X | 103467 | MN | Primary |
Addresses
Primary practice location
280 Smith Ave N Ste 120
Saint Paul, MN 55102-2579
Mailing address
280 Smith Ave N Ste 120
Saint Paul, MN 55102-2579
Other practice location 1
Allina Health Woodbury Clinic
8675 Valley Creek Rd
Woodbury, MN 55125-2337
Phone (651) 241-3000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103467 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Past | Accepting new patients |
Interoperability endpoints
- ltang366567@excellian.direct.allina.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Allina Health Inver Grove Heights Clinic
- Family Medicine Physician
- Inver Grove Heights, MN
- NPI 1083910871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1164614350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 SMITH AVE N STE 120",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 SMITH AVE N STE 120",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022579",
"telephone_number": "651-241-7560"
}
],
"practiceLocations": [
{
"address_1": "Allina Health Woodbury Clinic",
"address_2": "8675 Valley Creek Rd",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "MN",
"postal_code": "551252337",
"country_code": "US",
"telephone_number": "651-241-3000",
"fax_number": "651-241-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANG",
"first_name": "LILIAN",
"middle_name": "SHUN NING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103467",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MN",
"license": "103467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.