CHERYL TAN NPI 1588760003

NPI Information

NPI: 1588760003
Provider Name: CHERYL TAN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
6525 E MAINSGATE RD
WICHITA, KS
ZIP 67226
Phone: (316) 844-7309
Get Directions

Cheryl Tan is a psychiatric/mental health nurse practitioner in Wichita, KS with 18 years of experience. Cheryl Tan NPI is 1588760003. 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:

6525 E MAINSGATE RD
WICHITA, KS
ZIP 67226-062
Phone: (316) 844-7309
Fax: (316) 747-8028

The NPI 1588760003 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 1/9/2024.

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	207Q00000X	Family Medicine		45942	KANSAS	No
2	363LF0000X	Nurse Practitioner	Family	45942	KANSAS	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	45942	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	200551880D	MEDICAID	KANSAS
2	178951	OTHER	KANSAS	MEDICARE
3	200551880J	MEDICAID	KANSAS
4	PTAN 016291004	OTHER	KANSAS	MEDICARE - WPS
5	200551880A	MEDICAID	KANSAS
6	200551880B	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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