Active NPI
Sheila Susan Tann, ND, APRN, CPNP, PMHS
- Pediatric Nurse Practitioner
- Golden, CO
National Provider Identifier
1295191823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APN.0992081-NP
- Practice address
- 700 12TH St Ste 220
Golden, CO 80401-1231 - Phone
- (720) 432-0244
- Fax
- (949) 561-5106
- NPI assigned
- Jan 12, 2016
- Last updated
- Aug 4, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APN.0992081-NP | CO | Primary |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 0992081 | CO |
Addresses
Primary practice location
700 12TH St Ste 220
Golden, CO 80401-1231
Mailing address
700 12TH St Ste 220
Golden, CO 80401-1231
Phone (720) 432-0244
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
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0992081 | CO | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Place Pediatrics, LLC | Current | Accepting new patients | |
| Corazon T Aguilar, MD, PC | Past | Accepting new patients |
Locations
700 12th St
Ste 220
Golden, CO 80401
Phone (303) 850-2695
Interoperability endpoints
- sheila.tann.1@16985.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Golden, CO
- NPI 1942906656
-
dba Guardian Angels Health Center
- Pediatrics Physician
- Aurora, CO
- NPI 1770604662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1295191823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 12TH ST STE 220",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804011231",
"telephone_number": "720-432-0244",
"fax_number": "949-561-5106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 12TH ST STE 220",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804011231",
"telephone_number": "720-432-0244",
"fax_number": "949-561-5106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANN",
"first_name": "SHEILA",
"middle_name": "SUSAN",
"credential": "ND, APRN, CPNP, PMHS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-12",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CO",
"license": "APN.0992081-NP",
"primary": true
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "CO",
"license": "0992081",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.