VALERIE KIM TANNER (NPI# 1417174947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417174947 |
| Entity Type | Individual |
| Full Name | VALERIE KIM TANNER |
| Credential | N.P. |
| Practice Address |
1070 North Stone Street Suite A Deland FL 32720 |
| Mailing Address |
2600 Westhall Lane Box 300 Maitland FL 32751 |
| Practice Telephone | 3869437100 |
| Mailing Telephone | 4072002300 |
| Mailing Fax Number | 4072001365 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2016-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 078117 | MO | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9276639 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
078117 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1070 NORTH STONE STREET SUITE A |
| City | DELAND |
| State | FL |
| Zip Code | 32720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457467045 | Diane C Vanhorne Padilla | Internal Medicine | 1070 North Stone Street, Suit B, Deland, FL 32724 | 2006-08-23 |
| 1982030391 | Courtney Le Ann Steblein Miller | Physician Assistant | 1070 North Stone Street, Deland, FL 32720 | 2013-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171532 | Kimberlee C Del Campo | Nurse Practitioner | 1590 S, State Highway 15a, Deland, FL 32720 | 2020-10-13 |
| 1699304840 | Grace Haven LLC | In Home Supportive Care | 805 S Stone St, Deland, FL 32720 | 2020-04-08 |
| 1609407766 | Michelle Rene' Tutt | Nurse Practitioner | 1590 South State Hwy 15a, Deland, FL 32720 | 2020-01-28 |
| 1902448715 | Volusia Medical Center LLC | Family Medicine | 850 N. Stone Street, Deland, FL 32720 | 2019-10-14 |
| 1548748957 | Christopher Lee Paik | Internal Medicine | 107 N Stone St, St A, Deland, FL 32720 | 2018-07-30 |
| 1164961041 | Melissa Sorensen | Counselor | 970 N Spring Ave, 523, Deland, FL 32720 | 2017-02-13 |
| 1669910329 | Stefanie Briann Yockey | Counselor | 804 N. Woodland Blvd., Deland, FL 32720 | 2017-02-02 |
| 1144648809 | Steven Shinn | Internal Medicine | 1590 S Sr 15a Ste 100, Deland, FL 32720 | 2014-03-31 |
| 1164843710 | Malgorzata Anna Szelwach | Occupational Therapist | 1590 State Rt 15a Suite B, Deland, FL 32720 | 2013-12-29 |
| 1730510926 | Adriana Marquez | Community/Behavioral Health | 33218 Tomahawk Trail, Deland, FL 32720 | 2013-12-12 |
| Find all providers in zip 32720 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407766 | Michelle Rene' Tutt | Nurse Practitioner | 1590 South State Hwy 15a, Deland, FL 32720 | 2020-01-28 |
| 1811473275 | April Gustafson | Nurse Practitioner | 557 Adenmore Ter, Deland, FL 32724 | 2018-07-18 |
| 1144728486 | Mallory M Gustafson | Nurse Practitioner | 632 E Victoria Trails Blvd, Deland, FL 32724-7911 | 2018-01-31 |
| 1659884534 | Gemma Mercado Villapando | Nurse Practitioner | 129 Gladesdown Ct, Deland, FL 32724-7954 | 2017-11-14 |
| 1487103230 | Kimberly Huber | Nurse Practitioner | 614 Brookfield Ter, Deland, FL 32724-7725 | 2016-09-21 |
| 1174916480 | Brooke A Powell | Nurse Practitioner | 612 W New York Ave, Deland, FL 32720-5274 | 2015-03-11 |
| 1891198206 | Barbara Ann Thomason | Nurse Practitioner | 905 Lake Lindley Dr N, Deland, FL 32724-4103 | 2014-09-29 |
| 1316263486 | Candice Michele Ings-jackson | Nurse Practitioner | 1070 N Stone St Ste D, Deland, FL 32720-0824 | 2010-04-14 |
| 1245798206 | Apryl D Jania | Nurse Practitioner | 701 W Plymouth Ave, Deland, FL 32720 | 2019-03-08 |
| 1992271134 | Morgan Thomas | Nurse Practitioner | 201 W Plymouth Ave, Deland, FL 32720-2753 | 2018-10-15 |
| Find all providers in DELAND | ||||
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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.