LESLIE MICHELLE TANNER (NPI# 1780868976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780868976 |
| Entity Type | Individual |
| Full Name | LESLIE MICHELLE TANNER |
| Credential | APRN |
| Practice Address |
1750 N Wymount Terrace Dr Provo UT 84602-4800 |
| Practice Telephone | 8014222771 |
| Practice Fax Number | 8014220761 |
| Mailing Telephone | 8014222771 |
| Mailing Fax Number | 8014220761 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2008-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
213341-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1750 N WYMOUNT TERRACE DR |
| City | PROVO |
| State | UT |
| Zip Code | 84602-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891787891 | Steven W Bloink | Family Medicine | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2005-08-17 |
| 1730679085 | Oak Hills Pharmacy LLC | Pharmacy | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2018-05-12 |
| 1548627763 | Kelly Smith | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2016-01-19 |
| 1669814505 | Brandon Thatcher | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2013-07-19 |
| 1699024927 | Steven Morris Blanthorn | Physical Therapist | 1750 N Wymount Terrace Dr, Byu Student Health Center, Provo, UT 84604-8600 | 2012-08-31 |
| 1174707046 | William R Graden | General Practice | 1750 N Wymount Terrace Dr, Provo, UT 84602-4405 | 2007-12-27 |
| 1477737419 | Lorraine R Davis | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-27 |
| 1407030695 | David P Brown | General Practice | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
| 1144404385 | Mary Ann Evans | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
| 1598949786 | Elizabeth K Blackwell | Family Medicine | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847161 | Tara Marquez | Specialist/Technologist | Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 | 2020-06-26 |
| 1265071575 | Scott Daly Hosford | Psychologist | 2500 Wsc, Provo, UT 84602 | 2020-01-03 |
| 1417591728 | Christine Padilla | Specialist/Technologist | 331 Student Athlete Building, Provo, UT 84602 | 2019-10-30 |
| 1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
| 1881179323 | David Inouye Takasaki | Specialist/Technologist | 331 Sab, Provo, UT 84602 | 2018-10-01 |
| 1568949006 | Mckenna Taylor | Specialist/Technologist | 1120 Sfh Brigham Young University, Provo, UT 84602 | 2018-07-27 |
| 1821513755 | Sarah Huppi | Physical Medicine & Rehabilitation | 1130 Sfh, Provo, UT 84602 | 2017-08-11 |
| 1427572627 | Mackenzie Booth | Physical Medicine & Rehabilitation | 1120 Sfh, Brigham Young University, Provo, UT 84602 | 2017-07-29 |
| 1124542451 | Phillip James Adrian Hartog | Specialist/Technologist | 1143 Smith Fieldhouse, Provo, UT 84602 | 2017-07-28 |
| 1114479698 | Christopher Jay Hortin | Specialist/Technologist | 106 Sfh, Provo, UT 84602 | 2016-10-31 |
| Find all providers in zip 84602 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528542644 | Tyler Hobbs | Nurse Practitioner | 3650 N University Ave, Provo, UT 84604-6656 | 2018-09-25 |
| 1407373574 | Kristie Christensen | Nurse Practitioner | 1055 N 500 W, Ste 101, Bldg C, Provo, UT 84604-3305 | 2017-08-29 |
| 1235473687 | Katherine Lemke | Nurse Practitioner | 1055 N 500 W Bldg A, Provo, UT 84604-3305 | 2012-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742016 | Luz Elena Reni | Nurse Practitioner | 593 Millcreek Way, Bountiful, UT 84010-3920 | 2020-08-31 |
| 1841803137 | Anywhere Care | Nurse Practitioner | 9980 S. 300 W. Suite 200, Sandy, UT 84070 | 2020-08-26 |
| 1356952840 | Sandra Robles | Nurse Practitioner | 6671 S Redwood Rd Ste 101, West Jordan, UT 84084-7489 | 2020-08-10 |
| 1265050660 | Dana Michelle Roach | Nurse Practitioner | 3435 E Pony Express Pkwy Ste 104, Eagle Mountain, UT 84005-5515 | 2020-07-12 |
| 1174141964 | Kaitlyn Miller Albrecht | Nurse Practitioner | 14094 S Candy Pull Dr, Draper, UT 84020-7511 | 2020-07-08 |
| 1700403540 | Brady Ardell Byington | Nurse Practitioner | 6654 Willow Creek Rd, Mountain Green, UT 84050-6810 | 2020-06-27 |
| 1528697950 | Meagan Mckean | Nurse Practitioner | 2486 E Newport Cir, Cottonwood Heights, UT 84121-5642 | 2020-04-07 |
| 1104487677 | Brandilyn Rolfe | Nurse Practitioner | 2629 Cottage Ct, Park City, UT 84098-8226 | 2019-06-25 |
| 1447819974 | Andrew Brice Heinecke | Nurse Practitioner | 6807 S 3200 W, West Jordan, UT 84084-1828 | 2019-06-09 |
| 1467977884 | Eden Family Care and Medical Aesthetics | Nurse Practitioner | 2612 N Highway 162, Eden, UT 84310-9745 | 2017-08-07 |
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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.