Active NPI
Tanya Leamon
- Contractor
- Phoenix, AZ
National Provider Identifier
1902016454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 8274
- Practice address
- 1526 W Saint Anne Ave
Phoenix, AZ 85041-5819 - Phone
- (602) 323-9635
- NPI assigned
- May 23, 2007
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 8274 | AZ | Primary |
Addresses
Primary practice location
1526 W Saint Anne Ave
Phoenix, AZ 85041-5819
Mailing address
1526 W Saint Anne Ave
Phoenix, AZ 85041-5819
Phone (602) 323-9635
Other names 1
- Miss Tanya Ivery
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8274 | AZ | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902016454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 W SAINT ANNE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850415819",
"telephone_number": "602-323-9635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 W SAINT ANNE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850415819",
"telephone_number": "602-323-9635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAMON",
"first_name": "TANYA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "8274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TANYA",
"last_name": "IVERY",
"prefix": "MISS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.