Tan-Nelson LLC

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

TAN-NELSON LLC

Doing business as

CardiaWave

Practice address

12402 Admiralty Way
J302
Everett, WA 98204-5543

Phone

(920) 941-0663

Fax

(186) 647-9358

NPI assigned

May 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Nelson

Title

Co-Owner

Phone

(920) 941-0663

Specialties & licenses 1

Addresses

Other names 1

• CardiaWave Doing business as

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528279726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12402 ADMIRALTY WAY",
            "address_2": "J302",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045543",
            "telephone_number": "920-941-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12402 ADMIRALTY WAY",
            "address_2": "J302",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045543",
            "telephone_number": "920-941-0663",
            "fax_number": "186-647-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAN-NELSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "920-941-0663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CardiaWave",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mayra Janette Talley, PA
• Carol Ann Tallman, M.D.
• Michael J Tamber, MD
• Nicholas Tamburri, PA-C
• Tsion Semeneh Tamrat
• Katy Tan, OD
• Stella C Tanedo, MD
• Sangchi Tang, DDS
• April Ann Tanis, LMP
• Patricia C Tannen, RN

• Other Technician in Everett, WA
• Providers in Everett, WA by specialty
• Other Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.