Individual provider Active NPI

Tanya Lea Stemmerman, NCTMB

  • Specialist
  • Westminster, CO
National Provider Identifier
1649698051
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4872 Issued in CO
Practice address
14350 Osage St
Westminster, CO 80023-8443
Phone
(303) 941-7604
NPI assigned
Apr 2, 2014
Last updated
Apr 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4872 CO Primary

Addresses

Primary practice location

14350 Osage St
Westminster, CO 80023-8443

Mailing address

14350 Osage St
Westminster, CO 80023-8443
Phone (303) 941-7604

Other names 1

  • Tanya Lea Pratkelis Other name

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
4872COMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1649698051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14350 OSAGE ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800238443",
            "telephone_number": "303-941-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 OSAGE ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800238443",
            "telephone_number": "303-941-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEMMERMAN",
        "first_name": "TANYA",
        "middle_name": "LEA",
        "credential": "NCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "4872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "PRATKELIS",
            "middle_name": "LEA",
            "credential": "NCTMB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.