Kirsten M. Tan, RDMS,RVT

Primary specialty

Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X

License

31412 Issued in MD

Practice address

135 Naperville Dr
Cary, NC 27519-8394

Phone

(919) 372-1762

Fax

(919) 372-1762

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Christian Tan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Triangle Advanced Diagnostic Imaging.

  • Clinical Medical Laboratory
  • Creedmoor, NC
  • NPI 1851458327
  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457420846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 NAPERVILLE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198394",
            "telephone_number": "919-372-1762",
            "fax_number": "919-372-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 NAPERVILLE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198394",
            "telephone_number": "919-372-1762",
            "fax_number": "919-372-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "KIRSTEN",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "RDMS,RVT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "MD",
            "license": "31412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIAN",
            "last_name": "TAN",
            "credential": "RDMS,RVT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyzza Talley
• Talluri Ventures Inc. (FirstLight Home Care of Apex)
• Taylor Marie Tamburro
• Cheng Tan, CRNA
• Daniel R Tan, MD
• Tanas Physical Therapy
• Nabila S Tanas, PT
• Catherine Tancrelle, LMT
• Elizabeth Tang, PHARMACIST
• Meredith L. Tankard, LCMHC-A

• Radiologic Technologist in Cary, NC
• Providers in Cary, NC by specialty
• Radiologic Technologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.