Active NPI
Tanya Parker, RN, IL ECRN, PEL
- Registered Nurse
- Grayslake, IL
National Provider Identifier
1306569298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041.344115
- Practice address
- 33661 N Royal Oak LN Apt 208
Grayslake, IL 60030-2810 - Phone
- (847) 752-8881
- Fax
- (847) 628-2321
- NPI assigned
- Sep 26, 2022
- Last updated
- Sep 26, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.344115 | IL | Primary |
Addresses
Primary practice location
33661 N Royal Oak LN Apt 208
Grayslake, IL 60030-2810
Mailing address
PO Box 8412
Gurnee, IL 60031-7015
Phone (224) 480-7795
Other names 1
- Ms. Tan'Ya Harris
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.344115 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1306569298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8412",
"city": "GURNEE",
"state": "IL",
"postal_code": "600317015",
"telephone_number": "224-480-7795",
"fax_number": "847-628-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33661 N ROYAL OAK LN APT 208",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302810",
"telephone_number": "847-752-8881",
"fax_number": "847-628-2321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "TANYA",
"name_prefix": "Mrs.",
"credential": "RN, IL ECRN, PEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.344115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAN'YA",
"last_name": "HARRIS",
"prefix": "MS.",
"credential": "SCHOOL NURSE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.