Joey Marie Tan

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

247154 Issued in SC

Practice address

389 Serpentine Dr
Spartanburg, SC 29303-3026

Phone

(864) 560-3263

NPI assigned

Jun 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1851915292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 SERPENTINE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 SERPENTINE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033026",
            "telephone_number": "864-560-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "JOEY MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "247154",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "247154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Tackett, DO
• Tamara L Tackett, NP
• Stephanie Anja Taft, MD
• Wesley Talley, PT
• Ernestine Faye Sy Tan, MD
• Tanya Tocharoen Tang, D.O.
• Holley Moon Tankersley
• Angela Louise Tanner, M.A, LPC, LCMHC, LAC
• Rachel Lynn Tanner, OD
• Rhebecca Reigers Tanner, MA, CACII

• Registered Nurse in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; 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.