JESSICA J TANG FNP-BC, IBCLC
NPI 1104553395
Registered Nurse - Lactation Consultant in Newton, MA
NPI Status: Active since August 07, 2022
Contact Information
112 WARREN ST
NEWTON, MA
ZIP 02459
Phone: (800) 998-7042
Fax: (818) 724-7704
- Individual
- Female
- Registered Nurse
- Lactation Consultant
- PECOS Enrolled
About JESSICA TANG
This page provides the complete NPI Profile along with additional information for Jessica Tang, a provider established in Newton, Massachusetts with a medical specialization in Registered Nurse, focusing in lactation consultant . The healthcare provider is registered in the NPI registry with number 1104553395 assigned on August 2022. The practitioner's primary taxonomy code is 163WL0100X with license number L-314297 (OR). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1104553395
- Provider Name
- JESSICA J TANG FNP-BC, IBCLC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 112 WARREN ST NEWTON, MA 02459
- Location Phone
- (800) 998-7042
- Location Fax
- (818) 724-7704
- Mailing Address
- PO BOX 3158 PORTLAND, OR 97208
- Mailing Phone
- (503) 215-6494
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-07-2022
- Last Update Date
- 07-08-2025
- Code Navigator
A registered nurse (RN) like Jessica Tang coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.
Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Registered Nurse Lactation Consultant
- Taxonomy Code
- 163WL0100X
- Type
- Nursing Service Providers
- License No.
- L-314297
- License State
- OR
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 10000143 (OR) |
Medicare Participation & PECOS Enrollment Status
Jessica Tang is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104553395, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104553395, enumerated as an "individual" on August 07, 2022.
The provider is located at 112 WARREN ST NEWTON, MA 02459 and the phone number is (800) 998-7042.
Registered Nurse with taxonomy code 163WL0100X and a focus in Lactation Consultant.
