MS. JILL M. TANNER (NPI# 1871743963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871743963 |
| Entity Type | Individual |
| Full Name | MS. JILL M. TANNER |
| Other Name | MS. JILL M. CAIOLA |
| Credential | APRN |
| Practice Address |
6150 Diamond Centre Ct Suite 1300 Fort Myers FL 33912-4367 |
| Mailing Address |
28608 San Lucas Ln Unit 102 Bonita Springs FL 34135-8312 |
| Practice Telephone | 2393449786 |
| Practice Fax Number | 2393449215 |
| Mailing Telephone | 2038959680 |
| Mailing Fax Number | 2393449215 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9430928 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
003903 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528434313 | Jill Tanner | Physician Assistant | 99 N La Cienega Blvd, Suite 203, Beverly Hills, CA 90211-2222 | 2015-08-15 |
| Street Address |
6150 DIAMOND CENTRE CT SUITE 1300 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892633 | Fred A Liebowitz | Anesthesiology | 6150 Diamond Centre Ct, # 700-1, Fort Myers, FL 33912-4365 | 2005-06-27 |
| 1265984124 | Fred A Liebowitz Md Pa | Anesthesiology | 6150 Diamond Centre Ct, 700-1, Fort Myers, FL 33912-4367 | 2016-10-26 |
| 1972961746 | Anesthesia Specialists of Southern Florida Inc. | Nurse Anesthetist, Certified Registered | 6150 Diamond Centre Ct, Suite 1300, Fort Myers, FL 33912-4368 | 2016-02-08 |
| 1154796126 | Nms Weightloss Clinic I LLC | Family Medicine | 6150 Diamond Centre Ct, Bldg #400, Fort Myers, FL 33912-4368 | 2015-12-02 |
| 1598170979 | Laura Lynn Graff | Speech-Language Pathologist | 6150 Diamond Centre Ct, Suite 203, Fort Myers, FL 33912-4368 | 2014-06-24 |
| 1982036281 | Victoria Jean Dinkins | Occupational Therapist | 6150 Diamond Centre Ct, Fort Myers, FL 33912-4368 | 2013-08-08 |
| 1629417381 | Victor Darien Lubin | Dentist | 6150 Diamond Centre Ct, Fort Myers, FL 33912-4368 | 2013-06-17 |
| 1811336449 | Megan Elizabeth Moran | Speech-Language Pathologist | 6150 Diamond Centre Ct, Suite 203, Fort Myers, FL 33912-4368 | 2013-06-17 |
| 1659716975 | Lee County Physical Medicine LLC | Durable Medical Equipment & Medical Supplies | 6150 Diamond Centre Ct, Suite 1003, Fort Myers, FL 33912-4368 | 2013-04-30 |
| 1811259526 | Jill Lynn Davis | Speech-Language Pathologist | 6150 Diamond Centre Ct, Suite 203, Fort Myers, FL 33912-4368 | 2012-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700341450 | Kimberly Debow | Nurse Practitioner | 14646 Aeries Way Dr, Fort Myers, FL 33912-1703 | 2019-02-06 |
| 1144704917 | Adelene Frances Tolisano | Nurse Practitioner | 6840 Fairview St, Fort Myers, FL 33966-1133 | 2018-09-18 |
| 1215417951 | Doreen Destefano | Nurse Practitioner | 12734 Kenwood Ln Ste 84, Fort Myers, FL 33907-5638 | 2018-08-21 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1891127791 | Kimberly A. Litka | Nurse Practitioner | 6150 Diamond Centre Ct Unit 400, Fort Myers, FL 33912-4367 | 2013-08-01 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1376694778 | Melanie Makar | Nurse Practitioner | 1390 Royal Palm Square Blvd, Fort Myers, FL 33919-1077 | 2007-01-15 |
| 1598814972 | Deborah Wince Chapa | Nurse Practitioner | 8925 Colonial Center Drive, Suite 1000, Fort Myers, FL 33905-7810 | 2007-01-09 |
| 1316048895 | Laurie Haefele | Nurse Practitioner | 11215 Metro Pkwy, Fort Myers, FL 33966-1206 | 2006-09-26 |
| 1457451130 | Jo Anne Theresa Kowalski | Nurse Practitioner | 17050 Coral Cay Ln, Fort Myers, FL 33908-5073 | 2006-09-23 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
Please comment or provide details below to improve the information on MS. JILL M. TANNER.
| 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.