Individual provider Active NPI

Tammy A Macanas, PRSS-S

  • Peer Specialist
  • Las Vegas, NV
National Provider Identifier
1588498679
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
PRSS-SUP-5081 Issued in NV
Practice address
4800 Alpine PL Ste 12
Las Vegas, NV 89107-4086
Phone
(702) 257-8199
Fax
(702) 257-8299
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X PRSS-SUP-5081 NV Primary

Addresses

Primary practice location

4800 Alpine PL Ste 12
Las Vegas, NV 89107-4086

Mailing address

4800 Alpine PL Ste 12
Las Vegas, NV 89107-4086
Phone (702) 257-8199

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PRSS-SUP-5081NVMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation for Recovery, Inc. Peer Specialist PastSince Aug 25, 2025 Accepting new patients
TFK Wellness LLC PastSince Sep 1, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1588498679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 ALPINE PL STE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891074086",
            "telephone_number": "702-257-8199",
            "fax_number": "702-257-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 ALPINE PL STE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891074086",
            "telephone_number": "702-257-8199",
            "fax_number": "702-257-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACANAS",
        "first_name": "TAMMY",
        "middle_name": "A",
        "credential": "PRSS-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NV",
            "license": "PRSS-SUP-5081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.