Individual provider Active NPI

Virginie Tankeu, OWNER

  • General Practice Registered Nurse
  • Keedysville, MD
National Provider Identifier
1487371662
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
A00196701 Issued in MD
Practice address
154 Stonecrest Cir
Keedysville, MD 21756-1531
Phone
(301) 304-2809
NPI assigned
Oct 27, 2022
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X A00196701 MD Primary

Addresses

Primary practice location

154 Stonecrest Cir
Keedysville, MD 21756-1531

Mailing address

154 Stonecrest Cir
Keedysville, MD 21756-1531
Phone (301) 304-2809

Other names 1

  • Virginie Tankeu Former name

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
A00196701MDMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Senior Home Care LLC CurrentSince Nov 20, 2022 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, 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": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1487371662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 STONECREST CIR",
            "city": "KEEDYSVILLE",
            "state": "MD",
            "postal_code": "217561531",
            "telephone_number": "301-304-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 STONECREST CIR",
            "city": "KEEDYSVILLE",
            "state": "MD",
            "postal_code": "217561531",
            "telephone_number": "301-304-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKEU",
        "first_name": "VIRGINIE",
        "credential": "OWNER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MD",
            "license": "A00196701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIE",
            "last_name": "TANKEU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Keedysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.