Maureen L Tang, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP0244 Issued in GU

Practice address

520 W Santa Monica Ave
Dededo, GU 96929-5286

Phone

(671) 635-7400

Fax

(671) 635-4413

NPI assigned

Mar 7, 2022

Last updated

Mar 7, 2022By 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

Enrolled in GU

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1689321044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10722",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969310722",
            "telephone_number": "671-689-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W SANTA MONICA AVE",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969295286",
            "telephone_number": "671-635-7400",
            "fax_number": "671-635-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "MAUREEN",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GU",
            "license": "NP0244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Michael Springer, CRNA
• Kristine Stanley, RN
• Tracy Repancol Sunga, DDS
• Superdrug-Harmon
• Weerawat Tananusont
• Chawat Tongma, M.D.
• Joame Topacio
• Usrc Finegayan, LLC (U.S. Renal Care Finegayan Dialysis)
• Erika Vargas, FNP
• Vision Express, USA, Inc

• Family Nurse Practitioner in Dededo, GU
• Providers in Dededo, GU by specialty
• Family Nurse Practitioner in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.