Individual provider Active NPI

Elizabeth Tannaz

  • School Registered Nurse
  • Albuquerque, NM
National Provider Identifier
1326599473
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN80595 Issued in NM
Practice address
801 Stephen Moody St SE
Albuquerque, NM 87123-1994
Phone
(505) 271-3060
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 360936 NM
School Registered Nurse 163WS0200X RN80595 NM Primary

Addresses

Primary practice location

801 Stephen Moody St SE
Albuquerque, NM 87123-1994

Mailing address

801 Stephen Moody St SE
Albuquerque, NM 87123-1994
Phone (505) 271-3060

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

State licenses

LicenseStateTypeSpecialty
360936NMMDRegistered Nurse
RN80595NMMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico School for the Blind and Visually Impaired Early Childhood Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1326599473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 STEPHEN MOODY ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231994",
            "telephone_number": "505-271-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 STEPHEN MOODY ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231994",
            "telephone_number": "505-271-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNAZ",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "360936",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "RN80595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.