Individual provider Active NPI

Tanya Lee Salaman, LPN

  • Licensed Practical Nurse
  • Lowell, MA
National Provider Identifier
1912655010
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LN90796 Issued in MA
Practice address
22 Old Canal Dr
Lowell, MA 01851-2730
Phone
(978) 452-5155
Fax
(978) 970-0713
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LN90796 MA Primary

Addresses

Primary practice location

22 Old Canal Dr
Lowell, MA 01851-2730

Mailing address

22 Old Canal Dr
Lowell, MA 01851-2730
Phone (978) 452-5155

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

LicenseStateTypeSpecialty
LN90796MAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Habit Opco, LLC PastSince Mar 20, 2022 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": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1912655010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD CANAL DR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018512730",
            "telephone_number": "978-452-5155",
            "fax_number": "978-970-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD CANAL DR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018512730",
            "telephone_number": "978-452-5155",
            "fax_number": "978-970-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMAN",
        "first_name": "TANYA",
        "middle_name": "LEE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN90796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.