Active NPI
Tanya S Martin Nisly, LMSW
- Social Worker
- Hutchinson, KS
National Provider Identifier
1649375882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4757
- Practice address
- 1715 E 23Rd Ave
Hutchinson, KS 67502-1105 - Phone
- (620) 665-2240
- Fax
- (620) 665-2276
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4757 | KS | Primary |
Addresses
Primary practice location
1715 E 23Rd Ave
Hutchinson, KS 67502-1105
Mailing address
9001 W Illinois Ave
Hutchinson, KS 67501-9182
Phone (620) 567-2306
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4757 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizons Mental Health Center, Inc. | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Hutchinson, KS
- NPI 1447354089
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649375882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 W ILLINOIS AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675019182",
"telephone_number": "620-567-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 E 23RD AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021105",
"telephone_number": "620-665-2240",
"fax_number": "620-665-2276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN NISLY",
"first_name": "TANYA",
"middle_name": "S",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "4757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.