Luanne E Tangedal, CNM, MS

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

ARNP 9312546 Issued in FL

Practice address

725 Rodel CV
Lake Mary, FL 32746-4859

Phone

(407) 302-3133

Fax

(407) 330-4690

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Master of Science

Practice roles

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.

• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1619080629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N WESTMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143345",
            "telephone_number": "407-262-5710",
            "fax_number": "407-262-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RODEL CV",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464859",
            "telephone_number": "407-302-3133",
            "fax_number": "407-330-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGEDAL",
        "first_name": "LUANNE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "CNM, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP 9312546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003253800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MT",
            "identifier": "36450",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tallahassee Orthopedic Clinic III, P.L.
• Edna Lou Talley, OTR/L
• Carolina Fajardo Tamayo, DC
• Raul E. Tamayo, M.D.
• Tampa Pain Relief Center
• Mackenzie Tapounet, M.S., CCC-SLP
• Courensia Treniece Tarver
• J'Shon Taubitz
• Faisal Tawwab, MD
• Juveria Tawwab, MD

• Advanced Practice Midwife in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Advanced Practice Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.