Olyvia Tankoh

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4017 Minnesota Ave NE
Washington, DC 20019-3541

Phone

(202) 388-9202

Fax

(202) 388-9209

NPI assigned

Jul 28, 2021

Last updated

Jun 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Shawntis Homecare LLC

  • Home Health Agency
  • Columbus, OH
  • NPI 1750151148
  NPD Authorized official

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1235802927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7747 RIVERDALE RD APT 202",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843919",
            "telephone_number": "240-791-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 MINNESOTA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193541",
            "telephone_number": "202-388-9202",
            "fax_number": "202-388-9209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 Martin Luther King Jr Ave SW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200324933",
            "country_code": "US",
            "telephone_number": "202-318-0179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANKOH",
        "first_name": "OLYVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": "HHA200001224",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Akom Tanjong
• Walters Tanjong
• Philomina Tankeng
• Viviane Tankeu Djoteng, AID
• Ange Tankeu
• Joseph Tankou
• Yakam Tankwa
• Ira Roy Tannebaum, M.D.
• Viktorya Tannenbaum, MD
• Donna Katherine Tanner, MSW, LICSW

• Case Manager/Care Coordinator in Washington, DC
• Providers in Washington, DC by specialty
• Case Manager/Care Coordinator in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.