Michelle Concepcion Tanchanco, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60255711 Issued in WA

Practice address

10322 NE 132ND St
Kirkland, WA 98034-2829

Phone

(425) 822-5095

NPI assigned

Mar 28, 2019

Last updated

Jul 3, 2023By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1598226771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10322 NE 132ND ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342829",
            "telephone_number": "425-822-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10322 NE 132ND ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342829",
            "telephone_number": "425-822-5095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13555 NE Bel Red Rd Ste 228",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052324",
            "country_code": "US",
            "telephone_number": "206-901-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANCHANCO",
        "first_name": "MICHELLE",
        "middle_name": "CONCEPCION",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60255711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Tamas, LMP
• Brooke Louise Tamble, NP
• Sruthi Tammana
• Inna Bila Tan, PHARMD
• Julie Weiting Tan, DO
• Maria Y.M. Tang
• Margaret A. Tanner, MA, LMP
• Bahareh Tarassoli
• Neomi Fatima Tarawali
• Tariri PLLC

• Licensed Practical Nurse in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.