Tana Renae Vasquez, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

776835 Issued in TX

Practice address

BLDG 94043 North Clark Road
Russell Collier Health Care Clinic
Ft Hood, TX 76544

Phone

(254) 553-3014

Fax

(254) 553-3119

NPI assigned

Oct 17, 2006

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Okaloosa Mental Health & Psychiatric Center, Inc.

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  • Pensacola, FL
  • NPI 1699970962
  NPD (past)
• Sunshine Behavioral Medicine Inc

  • Psychiatry Physician
  • Graceville, FL
  • NPI 1598266850
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1861573891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 DOWNING ST",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132050",
            "telephone_number": "850-232-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 94043 NORTH CLARK ROAD",
            "address_2": "RUSSELL COLLIER HEALTH CARE CLINIC",
            "city": "FT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-553-3014",
            "fax_number": "254-553-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "TANA",
        "middle_name": "RENAE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "776835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Kekoa Valdez
• Terry Paul Valentino, LPN
• Carlos Alberto Valle-Valdez
• Sharon Ann Van Ry, LPC
• Bradley Joseph Vander Zanden, DO, PA-C
• Janet N Vaughn, LMSW
• Yanira Vazquez, R.PH.
• Laterious Venegas
• Kimberly Villa, LVN
• Kelly Jean Villalobos, LCSW-C, LCSW

• Pediatric Nurse Practitioner in Ft Hood, TX
• Providers in Ft Hood, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.