Active NPI
Tanya A Fay, NURSE
- Licensed Practical Nurse
- Rosebud, SD
National Provider Identifier
1205012879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 60768
- Practice address
- Rosebud IHS Hospital
Hwy 18 Soldier Creek Road
Rosebud, SD 57570 - Phone
- (605) 747-2231
- Fax
- (605) 747-2216
- NPI assigned
- Jan 14, 2008
- Last updated
- Jan 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 60768 | NE | Primary |
Addresses
Primary practice location
Rosebud IHS Hospital
Hwy 18 Soldier Creek Road
Rosebud, SD 57570
Mailing address
Rosebud IHS Hospital
Hwy 18 Soldier Creek Road
Rosebud, SD 57570
Phone (605) 747-2231
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60768 | NE | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1205012879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ROSEBUD IHS HOSPITAL",
"address_2": "HWY 18 SOLDIER CREEK ROAD",
"city": "ROSEBUD",
"state": "SD",
"postal_code": "57570",
"telephone_number": "605-747-2231",
"fax_number": "605-747-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROSEBUD IHS HOSPITAL",
"address_2": "HWY 18 SOLDIER CREEK ROAD",
"city": "ROSEBUD",
"state": "SD",
"postal_code": "57570",
"telephone_number": "605-747-2231",
"fax_number": "605-747-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAY",
"first_name": "TANYA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NE",
"license": "60768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosebud, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.