Active NPI
Priscilla Lizelle Hernando Tangunan, M.D.
- Family Medicine Physician
- Hot Springs, AR
National Provider Identifier
1992858575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C-8539
- Practice address
- 1 Mercy LN
Suite 301
Hot Springs, AR 71913-6442 - Phone
- (501) 623-3388
- Fax
- (501) 623-3899
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C-8539 | AR | Primary |
Addresses
Primary practice location
1 Mercy LN
Suite 301
Hot Springs, AR 71913-6442
Mailing address
1 Mercy LN
Suite 301
Hot Springs, AR 71913-6442
Phone (501) 623-3388
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-8539 | AR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1992858575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MERCY LN",
"address_2": "SUITE 301",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136442",
"telephone_number": "501-623-3388",
"fax_number": "501-623-3899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MERCY LN",
"address_2": "SUITE 301",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136442",
"telephone_number": "501-623-3388",
"fax_number": "501-623-3899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANGUNAN",
"first_name": "PRISCILLA",
"middle_name": "LIZELLE HERNANDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C-8539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.