Active NPI
Clinton T Tangy
- Home Health Aide
- Hyattsville, MD
National Provider Identifier
1205346327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 13135
- Practice address
- 7981 New Riggs Rd Apt 206
Hyattsville, MD 20783-4869 - Phone
- (240) 760-9867
- NPI assigned
- Oct 3, 2017
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 13135 | DC | Primary |
Addresses
Primary practice location
7981 New Riggs Rd Apt 206
Hyattsville, MD 20783-4869
Mailing address
7981 New Riggs Rd Apt 206
Hyattsville, MD 20783-4869
Phone (240) 760-9867
Other practice location 1
7981 New Riggs Rd
hyattsville, MD 20783
Phone (240) 760-9868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13135 | Other | DC | HHA |
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 |
|---|---|---|---|
| 13135 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1205346327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7981 NEW RIGGS RD APT 206",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207834869",
"telephone_number": "240-760-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7981 NEW RIGGS RD APT 206",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207834869",
"telephone_number": "240-760-9867"
}
],
"practiceLocations": [
{
"address_1": "7981 NEW RIGGS RD",
"address_purpose": "LOCATION",
"city": "hyattsville",
"state": "MD",
"postal_code": "20783",
"country_code": "US",
"telephone_number": "240-760-9868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANGY",
"first_name": "CLINTON",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-03",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "13135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HHA",
"identifier": "13135",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.