Active NPI
Abby Ann Tanking
- Case Manager/Care Coordinator
- Hiawatha, KS
National Provider Identifier
1265859698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 909 S 2ND St
Hiawatha, KS 66434-2774 - Phone
- (785) 742-7113
- Fax
- (785) 742-3085
- NPI assigned
- Mar 24, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
909 S 2ND St
Hiawatha, KS 66434-2774
Mailing address
909 S 2ND St
Hiawatha, KS 66434-2774
Phone (785) 742-7113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100097950A | Medicaid | KS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1265859698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 S 2ND ST",
"city": "HIAWATHA",
"state": "KS",
"postal_code": "664342774",
"telephone_number": "785-742-7113",
"fax_number": "785-742-3085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 S 2ND ST",
"city": "HIAWATHA",
"state": "KS",
"postal_code": "664342774",
"telephone_number": "785-742-7113",
"fax_number": "785-742-3085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANKING",
"first_name": "ABBY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-24",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100097950A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hiawatha, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.