KATHRYN TANIS (NPI# 1720031453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720031453 |
| Entity Type | Individual |
| Full Name | KATHRYN TANIS |
| Credential | CNP |
| Practice Address |
883 Lead Ave Se Ste A Albuquerque NM 87102-3644 |
| Mailing Address |
9512 Allande Rd Ne Albuquerque NM 87109-6618 |
| Practice Telephone | 5052478820 |
| Practice Fax Number | 5052469421 |
| Mailing Telephone | 5052992148 |
| Mailing Fax Number | 5052992148 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2014-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
CNP00550 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 51452715 | 05 |
| Street Address |
883 LEAD AVE SE STE A |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356392989 | Kristen Gorbitz | Nurse Practitioner | 883 Lead Ave Se, Ste A, Albuquerque, NM 87102-3644 | 2006-05-16 |
| 1538229695 | Karen A. Williams Md | Obstetrics & Gynecology | 883 Lead Ave Se, Ste A, Albuquerque, NM 87102-3644 | 2006-12-11 |
| 1932269073 | Southwest Womens Health P A | Obstetrics & Gynecology | 883 Lead Ave Se, Ste A, Albuquerque, NM 87102-3644 | 2006-12-11 |
| 1952357832 | Karen A Williams | Obstetrics & Gynecology | 883 Lead Ave Se, Ste A, Albuquerque, NM 87102-3644 | 2006-05-25 |
| 1043266786 | Rebecca J Shoden | Obstetrics & Gynecology | 883 Lead Ave Se, Ste A, Albuquerque, NM 87102-3644 | 2006-05-25 |
| 1477505196 | Daphne Johnson | Nurse Practitioner | 883 Lead Ave Se, Ste A, Albuquerque, NM 87102-3644 | 2006-05-17 |
| 1336191964 | Karen Dwyer | Physician Assistant | 883 Lead Ave Se, Ste A, Albuquerque, NM 87102-3644 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386938553 | Dina Jene Reid | Nurse Practitioner | 11616 Snowheights Blvd Ne, Albuquerque, NM 87112-3158 | 2011-06-06 |
| 1174645113 | Joanne Marlene Williams | Nurse Practitioner | 8712 Chambers Pl Ne, Albuquerque, NM 87111-2138 | 2007-04-03 |
| 1538175377 | Ethel Mae Jorgensen | Nurse Practitioner | 719 San Mateo Blvd Ne, Albuquerque, NM 87108-1434 | 2006-08-01 |
| 1215953302 | Amy Jo Levi | Nurse Practitioner | Msc 09 5350, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-07-14 |
| 1467441709 | Donna Ann Ketcheson | Nurse Practitioner | 801 Encino Pl Ne Ste D5, Albuquerque, NM 87102-2644 | 2005-10-19 |
| 1003441601 | Lauren Larkin | Nurse Practitioner | 5150 San Francisco Rd Ne, Albuquerque, NM 87109-4640 | 2020-03-04 |
| 1912494311 | Grace Jacobson | Nurse Practitioner | 201 Cedar St Se Ste S120, Albuquerque, NM 87106-4900 | 2018-04-20 |
| 1245611011 | Julie Ann Hall | Nurse Practitioner | University of New Mexico Hospital, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2015-06-17 |
| 1003255639 | Nicole Ann Badillo | Nurse Practitioner | 4010 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2013-06-17 |
| 1245515907 | Erin Rae Flint | Nurse Practitioner | 201 Cedar Se #405, 405, Albuquerque, NM 87106-3392 | 2011-10-13 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on KATHRYN TANIS.
| 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.