Tanya Michelle, LAC RN HTP CST M.OM.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

LAC-010140 Issued in AZ

Practice address

10304 N Hayden Rd
Scottsdale, AZ 85258-1217

Phone

(612) 888-3666

NPI assigned

Jan 23, 2017

Last updated

Oct 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1528505922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N COLLEGE AVE APT 2072",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852810193",
            "telephone_number": "612-888-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 N HAYDEN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581217",
            "telephone_number": "612-888-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELLE",
        "first_name": "TANYA",
        "credential": "LAC RN HTP CST M.OM.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 121581-0",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "239494",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1834",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-010140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAICS",
            "identifier": "621399",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TAX ID #",
            "identifier": "4841294",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael William Perry MD PC
• Michael Y. Suleiman, MD, PC
• Stacie Gooch Michaelis, D.O.
• Jason D Michaels, M.D.
• Michele a. Coffman OD PA
• Jessica Cotter Michie, APRN
• Michigan Urgent Care Provider Network, LLC
• Ashley Michl, NP
• Abbriella Michols, LMSW
• Courtney Lenorea Mickelson Mongeon

• Acupuncturist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.