Individual provider Active NPI

Tanya L. Ghysels, N.P-C

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1730490681
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.11526-NP Issued in OH
Practice address
6438 Wilmington Pike
Suite 110
Dayton, OH 45459-7010
Phone
(937) 848-4121
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.11526-NP OH Primary

Addresses

Primary practice location

6438 Wilmington Pike
Suite 110
Dayton, OH 45459-7010

Mailing address

660 Shedborne Ave
Dayton, OH 45403-3143
Phone (937) 305-5578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20260319001170 OH Order and Referring Only - Nurse Practitioner 0547439671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.11526-NPOHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1730490681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 SHEDBORNE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454033143",
            "telephone_number": "937-305-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6438 WILMINGTON PIKE",
            "address_2": "SUITE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454597010",
            "telephone_number": "937-848-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHYSELS",
        "first_name": "TANYA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "N.P-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.11526-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.