Tanya Patrick

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

2306 Mountain Ave
Flint, MI 48503-2298

Phone

(810) 513-2762

NPI assigned

Jun 15, 2016

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1700236247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 MOUNTAIN AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032298",
            "telephone_number": "810-513-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 MOUNTAIN AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032298",
            "telephone_number": "810-513-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "TANYA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathway to Light Counseling Services, LLC
• Kimberly Patlewicz
• Patricia Campbell
• Doris Evelyn Patrick, LMSW
• Sarah Patrick
• Patriot Ambulance Service, Inc.
• Michelle Pattan
• Amy S. Patterson, MNT
• Carmen Patterson
• Elizabeth Clare Patterson, MD

• Other Specialist/Technologist in Flint, MI
• Providers in Flint, MI by specialty
• Other Specialist/Technologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.