BEATRICE TANG DISASI NPI 1760900328

NPI Information

NPI: 1760900328
Provider Name: BEATRICE TANG DISASI
Classification: Nursing Home Administrator - 376G00000X
Entity Type: Individual
Address:
12526 E CENTRAL AVE
WICHITA, KS
ZIP 67206
Phone: (316) 616-5306
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Beatrice Tang Disasi is a nursing home administrator in Wichita, KS. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. Beatrice Tang Disasi NPI is 1760900328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12526 E CENTRAL AVE
WICHITA, KS
ZIP 67206-812
Phone: (316) 616-5306
Fax: (316) 260-9229

The enumeration date for this NPI number is 9/5/2017 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	376G00000X	Nursing Home Administrator		264	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	82-2384276	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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