Individual provider Active NPI

Tania Ann Urenda, ASCP

  • Medical Technologist
  • Woodland Park, CO
National Provider Identifier
1699908582
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical TechnologistTaxonomy code 246QM0706X
License
TN 38271 Issued in FL
Practice address
439 Gray Horse Cir
Woodland Park, CO 80863-8943
Phone
(850) 259-8642
NPI assigned
Aug 26, 2009
Last updated
Aug 26, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Technologist 246QM0706X TN 38271 FL Primary

Addresses

Primary practice location

439 Gray Horse Cir
Woodland Park, CO 80863-8943

Mailing address

439 Gray Horse Cir
Woodland Park, CO 80863-8943
Phone (850) 259-8642

Other names 1

  • Tania Ann Johnson Former 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
TN 38271FLMDMedical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1699908582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 GRAY HORSE CIR",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638943",
            "telephone_number": "850-259-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 GRAY HORSE CIR",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638943",
            "telephone_number": "850-259-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URENDA",
        "first_name": "TANIA",
        "middle_name": "ANN",
        "credential": "ASCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "FL",
            "license": "TN 38271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIA",
            "last_name": "JOHNSON",
            "middle_name": "ANN",
            "credential": "ASCP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.