Active NPI
Tanya Flegeance Kirby, MD
- Psychiatry Physician
- West Reading, PA
National Provider Identifier
1740493022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD433188
- Practice address
- 6TH Avenue and Spruce Street
West Reading, PA 19611 - Phone
- (610) 898-6611
- Fax
- (610) 988-1654
- NPI assigned
- May 7, 2007
- Last updated
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD433188 | PA | Primary |
Addresses
Primary practice location
6TH Avenue and Spruce Street
West Reading, PA 19611
Mailing address
50 Commerce Dr
Wyomissing, PA 19610-3335
Phone (610) 372-8044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021972850001 | Medicaid | PA | |
| MD433188 | Other | PA | COMMONWEALTH OF PENNSYLVANIA |
Other names 1
- Tanya Marie Flegeance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD433188 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Access Network | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1740493022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 COMMERCE DR",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103335",
"telephone_number": "610-372-8044",
"fax_number": "484-334-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6TH AVENUE AND SPRUCE STREET",
"city": "WEST READING",
"state": "PA",
"postal_code": "19611",
"telephone_number": "610-898-6611",
"fax_number": "610-988-1654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "TANYA",
"middle_name": "FLEGEANCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD433188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021972850001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF PENNSYLVANIA",
"identifier": "MD433188",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TANYA",
"last_name": "FLEGEANCE",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.