Individual provider Active NPI

Tanya Feke, M.D.

  • Family Medicine Physician
  • Windham, NH
National Provider Identifier
1528091592
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16266 Issued in NH
Practice address
125 Indian Rock Rd
Windham, NH 03087-2008
Phone
(603) 890-6330
Fax
(603) 458-7626
NPI assigned
Jul 10, 2006
Last updated
Jun 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16266 NH Primary

Addresses

Primary practice location

125 Indian Rock Rd
Windham, NH 03087-2008

Mailing address

3 Mitchell Pond Rd
Windham, NH 03087-1241
Phone (603) 818-4007

Other identifiers 2

IdentifierTypeStateIssuer
044503OtherCTCT STATE LICENSE
01445031MedicaidCT

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16266NHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1528091592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MITCHELL POND RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871241",
            "telephone_number": "603-818-4007",
            "fax_number": "888-717-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 INDIAN ROCK RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872008",
            "telephone_number": "603-890-6330",
            "fax_number": "603-458-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEKE",
        "first_name": "TANYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "16266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT STATE LICENSE",
            "identifier": "044503",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01445031",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.