Kimberly Ann Tancos, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

10915 W 133Rd Ave
Cedar Lake, IN 46303-9706

Phone

(219) 390-7498

Fax

(219) 390-7549

NPI assigned

Jan 19, 2011

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

Credentials

Master of Science

Practice roles

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.

• Kidworks, LLC

  • Occupational Therapist
  • Chesterton, IN
  • NPI 1033295472

  Speech-Language Pathologist

  NPD (past)
• Therapeutic Branches, P.C.

  • Speech-Language Pathologist
  • Cedar Lake, IN
  • NPI 1538469564
  NPD (past)

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1710282967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 WESTCHESTER AVE",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042852",
            "telephone_number": "219-241-6482",
            "fax_number": "219-390-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 W 133RD AVE",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039706",
            "telephone_number": "219-390-7498",
            "fax_number": "219-390-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANCOS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Sikorevich, M.D.
• Catherine A. Sperka, RPH.
• Amanda Stolarz, MSN, FNP-C
• Regina Gale Stovall, OTR
• Erica Tambrini
• Therapeutic Branches, P.C.
• Patrick Roland Thibeault
• Christina M Topoll
• Town of Cedar Lake
• United Emergency Medical Services

• Speech-Language Pathologist in Cedar Lake, IN
• Providers in Cedar Lake, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.