Individual provider Active NPI

Tanya Sij, RNC

  • Family Medicine Physician
  • Kaufman, TX
National Provider Identifier
1841250396
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN624140 Issued in TX
Practice address
874 Ed Hall Dr
Suite B-108
Kaufman, TX 75142-1861
Phone
(972) 932-5555
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN624140 TX Primary

Addresses

Primary practice location

874 Ed Hall Dr
Suite B-108
Kaufman, TX 75142-1861

Mailing address

PO Box 975341
Dallas, TX 75397-0001
Phone (972) 791-1224

Other identifiers 2

IdentifierTypeStateIssuer
500028581OtherTXMEDICARE RAILROAD
1736084-01MedicaidTX

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN624140TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deuteronomy 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1841250396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 975341",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753970001",
            "telephone_number": "972-791-1224",
            "fax_number": "972-819-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 ED HALL DR",
            "address_2": "SUITE B-108",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751421861",
            "telephone_number": "972-932-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIJ",
        "first_name": "TANYA",
        "credential": "RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "RN624140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "500028581",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1736084-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaufman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.