Individual provider Active NPI

Angela Marie Tunno, LMLPT

  • Clinical Psychologist
  • Lawrence, KS
National Provider Identifier
1366795197
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2418 Issued in KS
Practice address
200 Maine St Ste a
Lawrence, KS 66044-1396
Phone
(785) 843-9192
Fax
(785) 843-6744
NPI assigned
Oct 17, 2012
Last updated
Oct 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2418 KS Primary

Addresses

Primary practice location

200 Maine St Ste a
Lawrence, KS 66044-1396

Mailing address

200 Maine St Ste a
Lawrence, KS 66044-1396
Phone (785) 843-9192

Other identifiers 1

IdentifierTypeStateIssuer
1841281805OtherKSNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170905001976 NC Practitioner - Clinical Psychologist 8628341104 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2418KSMDMental Health Counselor
5072NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients

Locations

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2608 Erwin Rd
Ste 300
Durham, NC 27705
Phone (919) 385-3232

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1366795197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAINE ST STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441396",
            "telephone_number": "785-843-9192",
            "fax_number": "785-843-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAINE ST STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441396",
            "telephone_number": "785-843-9192",
            "fax_number": "785-843-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNNO",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "LMLPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841281805",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.