Active NPI
Lourdes R Tan, MD
- Psychiatry Physician
- Hays, KS
National Provider Identifier
1578601712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD0419738
- Practice address
- 208 East 7 Street
Hays, KS 67601 - Phone
- (785) 628-2871
- Fax
- (785) 628-1438
- NPI assigned
- Feb 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD0419738 | KS | Primary |
Addresses
Primary practice location
208 East 7 Street
Hays, KS 67601
Mailing address
215 Morris Avenue
PO Box 93
Larned, KS 67550
Phone (785) 628-6987
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD0419738 | KS | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578601712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 MORRIS AVENUE",
"address_2": "PO BOX 93",
"city": "LARNED",
"state": "KS",
"postal_code": "67550",
"telephone_number": "785-628-6987",
"fax_number": "785-628-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 EAST 7 STREET",
"city": "HAYS",
"state": "KS",
"postal_code": "67601",
"telephone_number": "785-628-2871",
"fax_number": "785-628-1438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "LOURDES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KS",
"license": "MD0419738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hays, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.