Tanya Llanque

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

111778 Issued in NE

Practice address

6901 S 84TH St
La Vista, NE 68128-2127

Phone

(866) 389-2727

NPI assigned

Apr 15, 2015

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• City of Sioux Falls

  dba FCH School Based Health Services/Hayward

  • Federally Qualified Health Center (FQHC)
  • Sioux Falls, SD
  • NPI 1508103243
  NPD
• City of Sioux Falls

  dba Falls Community Health

  • Federally Qualified Health Center (FQHC)
  • Sioux Falls, SD
  • NPI 1932295888
  NPD
• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842
  NPD
• Northwest Iowa Hospital Corporation

  dba St. Luke's Regional Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sioux City, IA
  • NPI 1215962550
  NPD

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1619364742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 S 84TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 S 84TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282127",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLANQUE",
        "first_name": "TANYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas E Lewis, DDS
• Ying Yi Li, PHARMD
• Lifecare Family Medicine of Bellevue, P.C.
• Holly Elizabeth Linhart
• Cynthia Liu, PHARMD
• Zoraida Ruth Llasaca
• Nathaniel Anthony Lombardo, PHARMD
• Cynthia Long
• Jordan Long
• Tracey Long

• Family Nurse Practitioner in La Vista, NE
• Providers in La Vista, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.