SAVANNAH TANNER (NPI# 1700291648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700291648 |
| Entity Type | Individual |
| Full Name | SAVANNAH TANNER |
| Credential | PA-C |
| Practice Address |
707 Paseo De Peralta Santa Fe NM 87501-1922 |
| Practice Telephone | 5059898707 |
| Practice Fax Number | 5059893536 |
| Mailing Telephone | 5059898707 |
| Mailing Fax Number | 5059893536 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2014-0033 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
707 PASEO DE PERALTA |
| City | SANTA FE |
| State | NM |
| Zip Code | 87501-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164489613 | Lesa Deanne Fraker | Emergency Medicine | 707 Paseo De Peralta, Santa Fe, NM 87501 | 2006-04-27 |
| 1548682842 | Frederic W Northern | Physician Assistant | 707 Paseo De Peralta, Santa Fe, NM 87501-1922 | 2014-01-06 |
| 1407106230 | Newton Eddie Baldwin | Physician Assistant | 707 Paseo De Peralta, Santa Fe, NM 87501 | 2012-09-19 |
| 1962645283 | Carol Ann Chappell | Family Medicine | 707 Paseo De Peralta, Santa Fe, NM 87501-1922 | 2009-04-16 |
| 1962568253 | Taos Comprehensive Health Corporation | Clinic/Center | 707 Paseo De Peralta, Santa Fe, NM 87501-1922 | 2006-12-29 |
| 1184731770 | Julia Christine Davis | Physician Assistant | 707 Paseo De Peralta, Santa Fe, NM 87501-1922 | 2006-08-23 |
| 1629035142 | John Robert Vanderhee | Physician Assistant | 707 Paseo De Peralta, Santa Fe, NM 87501-1922 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775327 | Rasanjana Bhandari | Behavior Technician | 1505 Paseo De Conquistadora, Santa Fe, NM 87501 | 2018-10-01 |
| 1497102172 | New Mexico Neurodiagnostics, LLC | Clinic/Center | 150 Washington Ave., Ste. #201-220, Office 224, Santa Fe, NM 87501 | 2016-05-23 |
| 1831557891 | Jane Berger | Social Worker | 300 Griffin St Ste 213, Santa Fe, NM 87501 | 2016-02-05 |
| 1316325061 | Serenity Wellness Center of Santa Fe, LLC | Counselor | 343 E Palace Ave, Santa Fe, NM 87501 | 2015-05-14 |
| 1902209497 | Mdlive Medical Group Nm LLC | Counselor | 123 Marcy Street, Santa Fe, NM 87501 | 2014-09-29 |
| 1396154183 | Julie Price | Counselor | 1 Montoya Cir, Santa Fe, NM 87501 | 2014-08-06 |
| 1053609487 | Michael Shawn Haner | Acupuncturist | 909 Early St., Santa Fe, NM 87501 | 2011-07-19 |
| 1396045316 | Dana Moore | Counselor | 950 Canyon Rd., Santa Fe, NM 87501 | 2010-10-25 |
| 1720394232 | Susan Nelsen | Social Worker | 118 Huddleson St, Santa Fe, NM 87501 | 2010-08-20 |
| 1033434543 | Anthony R Moya | Social Worker | 501 Franklin Ave Ofc 6, Santa Fe, NM 87501 | 2010-03-29 |
| Find all providers in zip 87501 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680750 | Mckenzi Hoffman | Physician Assistant | 465 Saint Michaels Dr Bldg Suite107, Santa Fe, NM 87505-7670 | 2020-02-05 |
| 1194172817 | Jessica Curtin | Physician Assistant | 1640 Old Pecos Trl Ste H, Santa Fe, NM 87505-4777 | 2016-05-23 |
| 1003132093 | Mitchell Constant | Physician Assistant | 1640 Old Pecos Trail, Suite H, Health Front, PC, Santa Fe, NM 87505 | 2010-04-15 |
| 1710137658 | Carolyn A. Bauer | Physician Assistant | 1651 Galisteo St Ste 8, Santa Fe, NM 87505-4752 | 2008-09-29 |
| 1851572655 | Claire Joan Antoszewski | Physician Assistant | 453 1/2 Amado St, Santa Fe, NM 87501-3700 | 2007-11-20 |
| 1801086111 | Georgette M Cooper | Physician Assistant | 1301 Declovina St, Santa Fe, NM 87505-3215 | 2007-08-01 |
| 1053398636 | Kimberly A Berge | Physician Assistant | 433 St Michaels Dr, Santa Fe, NM 87505 | 2005-12-27 |
| 1194389247 | Alyssa K Broatch | Physician Assistant | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2019-04-24 |
| 1043795909 | Darina Linnik | Physician Assistant | 1631 Hospital Dr Ste 240, Santa Fe, NM 87505-7691 | 2018-09-26 |
| 1497266019 | Lisa Ann Wermeling | Physician Assistant | 465 Saint Michaels Dr Ste 116, Santa Fe, NM 87505-7621 | 2017-10-23 |
| Find all providers in SANTA FE | ||||
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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.