Tanaka Cantu, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0052993 Issued in OK

Practice address

411 S Central Ave
Idabel, OK 74745-6059

Phone

(580) 286-7876

Fax

(580) 286-5721

NPI assigned

Jun 30, 2016

Last updated

Jul 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1447601455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745231030",
            "telephone_number": "580-298-2830",
            "fax_number": "580-298-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S CENTRAL AVE",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747456059",
            "telephone_number": "580-286-7876",
            "fax_number": "580-286-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "TANAKA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0052993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa M Burris
• Kassandra Busse
• Gordon Butzirus, PA-C
• Jenna Leigh Buzan
• Courtney Leigh Cannon, BHRS
• Keeley Danielle Castillo, MS, RD, LD
• Claire Cavinder, PMHNP-BC
• Brenda Gayle Chadwick-Liechti, M.S.C., LPC, CM-A
• Chance Physical Therapy & Fitness PC
• Chandler-Hewitt Drug Inc (Chandler Hewitt RX)

• Licensed Practical Nurse in Idabel, OK
• Providers in Idabel, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.