Individual provider Active NPI

Tanya Parker, RN, IL ECRN, PEL

  • Registered Nurse
  • Grayslake, IL
National Provider Identifier
1306569298
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041.344115 Issued in IL
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
041.344115ILMDRegistered 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.

Verify at the official NPI Registry.