Organization Active NPI

Tanis Phillips

  • Assisted Living Facility (Mental Illness)
  • Cheektowaga, NY
National Provider Identifier
1578909594
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
314090-1 Issued in NY
Legal business name
TANIS PHILLIPS
Practice address
98 Cathedral LN
Cheektowaga, NY 14225-4612
Phone
(716) 253-4270
NPI assigned
May 16, 2013
Last updated
May 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Tanis Joy PhillipsNPI 1912349937
Title
LPN
Phone
(716) 253-4270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 314090-1 NY Primary

Addresses

Primary practice location

98 Cathedral LN
Cheektowaga, NY 14225-4612

Mailing address

98 Cathedral LN
Cheektowaga, NY 14225-4612
Phone (716) 253-4270

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1578909594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CATHEDRAL LN",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254612",
            "telephone_number": "716-253-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CATHEDRAL LN",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254612",
            "telephone_number": "716-253-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANIS PHILLIPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TANIS",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "716-253-4270"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NY",
            "license": "314090-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.