Individual provider Active NPI

Tanya Antoinette McCloud, RN

  • Registered Nurse
  • Fayetteville, NC
National Provider Identifier
1467706341
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
217813 Issued in NC
Practice address
2932 Breezewood Ave Suite 102
All Care Healthcare Service
Fayetteville, NC 28304-5455
Phone
(910) 867-2249
Fax
(910) 867-7845
NPI assigned
Oct 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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 217813 NC Primary

Addresses

Primary practice location

2932 Breezewood Ave Suite 102
All Care Healthcare Service
Fayetteville, NC 28304-5455

Mailing address

2932 Breezewood Ave Suite 1
All Care Healthcare Services
Fayetteville, NC 28304-5455
Phone (910) 867-2249

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
217813NCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1467706341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 BREEZEWOOD AVE SUITE 1",
            "address_2": "ALL CARE HEALTHCARE SERVICES",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045455",
            "telephone_number": "910-867-2249",
            "fax_number": "910-867-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 BREEZEWOOD AVE SUITE 102",
            "address_2": "ALL CARE HEALTHCARE SERVICE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045455",
            "telephone_number": "910-867-2249",
            "fax_number": "910-867-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "TANYA",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "217813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.