Individual provider Active NPI

Tanis Lou Thouin

  • Addiction (Substance Use Disorder) Psychologist
  • Tucson, AZ
National Provider Identifier
1992365118
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
13308 Issued in AZ
Practice address
6375 E Tanque Verde Rd Ste 140
Tucson, AZ 85715-3863
Phone
(520) 240-3599
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 13308 AZ Primary

Addresses

Primary practice location

6375 E Tanque Verde Rd Ste 140
Tucson, AZ 85715-3863

Mailing address

6375 E Tanque Verde Rd Ste 140
Tucson, AZ 85715-3863
Phone (520) 240-3599

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Tucson Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1992365118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 E TANQUE VERDE RD STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153863",
            "telephone_number": "520-240-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 E TANQUE VERDE RD STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153863",
            "telephone_number": "520-240-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOUIN",
        "first_name": "TANIS",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "13308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tucson",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6375 E Tanque Verde Rd Ste 140",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857153863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.