ANDREA JO TANNER (NPI# 1164039061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164039061 |
| Entity Type | Individual |
| Full Name | ANDREA JO TANNER |
| Credential | FNP |
| Practice Address |
266 Skidmore Ln Sutton WV 26601-9271 |
| Mailing Address |
249 Skidmore Ln Sutton WV 26601-9272 |
| Practice Telephone | 3047650351 |
| Mailing Telephone | 3043177425 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 105472 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | APRN, FNP-C | 105472 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881196715 | Andrea Thomas Tanner | Nurse Practitioner | 1302 Drayton St, Savannah, GA 31401-6913 | 2018-03-07 |
| Street Address |
266 SKIDMORE LN |
| City | SUTTON |
| State | WV |
| Zip Code | 26601-9271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325894 | Amy Elizabeth Taylor | Pharmacist | 369 Scotts Fork Bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1629678438 | David B Smith | Pharmacist | 369 Scotts Fork-bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1952914194 | Charlotte Ann Coffman | Technician | 42 Ashley Pl, Lot 2, Sutton, WV 26601 | 2020-08-27 |
| 1871032995 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 256 Skidmore Ln, Sutton, WV 26601 | 2017-02-22 |
| 1912391772 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 369 Scotts Fork-bonnie Rd, Sutton, WV 26601 | 2015-03-19 |
| 1063785798 | Amanda Laurel Steiger | Specialist | 89 Mid Mountain Ln, Suite 1, Sutton, WV 26601 | 2012-02-10 |
| 1770876021 | Christina B Gillenwater | Family Medicine | 273 Skidmore Lane, Sutton, WV 26601 | 2011-05-19 |
| 1013189059 | Kelli L Boggs | Registered Nurse | 411 North Hill Road, Braxton County Board of Education, Sutton, WV 26601 | 2008-03-31 |
| 1396849030 | Laura Lou Marple | Dentist | 304 Riverview Dr, Sutton, WV 26601 | 2006-09-12 |
| 1083625305 | Cynthia Talbott Vincent | Physician Assistant | 93 Skidmore Lane, Sutton, WV 26601 | 2006-08-11 |
| Find all providers in zip 26601 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029443 | Cierra L Gladden | Nurse Practitioner | 312 Club House Dr, Evans, WV 25241-8055 | 2020-10-08 |
| 1164039624 | Morgan Casto | Nurse Practitioner | 2666 Smith Creek Rd, South Charleston, WV 25309-8546 | 2020-09-29 |
| 1205441078 | Britney Michelle Hanshaw | Nurse Practitioner | 86 Mountain View Drive, Charlton Heights, WV 25040-0251 | 2020-09-09 |
| 1881206969 | Zachariah Redmond | Nurse Practitioner | 250 Retail Cir Ste 106, Morgantown, WV 26508-1677 | 2020-08-19 |
| 1407480031 | Lyndsey Shae Boatwright | Nurse Practitioner | 222 Ferndale Dr, Elkins, WV 26241-3010 | 2020-02-22 |
| 1659905297 | Savannah Jarvis | Nurse Practitioner | 389 Garretts Bnd, Griffithsville, WV 25521-4715 | 2020-02-22 |
| 1497394290 | Allison Smith | Nurse Practitioner | 1001 Centre Way, Charleston, WV 25309-9427 | 2019-12-27 |
| 1538706502 | Nicole Lynn Hutson | Nurse Practitioner | U.S. 250, Huttonsville, WV 26241-2624 | 2019-12-09 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1851936629 | Rebecca Lyne Ratliff | Nurse Practitioner | 121 George St, Beckley, WV 25801-2607 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.