JACOB FARLEY TANNER


Address: 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141
Phone: 3148037792

JACOB FARLEY TANNER (NPI# 1871016105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871016105
Entity Type Individual
Full Name JACOB FARLEY TANNER
Credential MS, ATC, LAT
Practice Address 1054 Town and Four Parkway Dr
Creve Coeur
MO 63141
Mailing Address 1054 Town and Four Parkway Dr
Creve Coeur
MO 63141-6225
Practice Telephone 3148037792
Enumeration Date 2017-07-19
Last Update Date 2017-08-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
2015026272 MO Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JACOB TANNER

NPI Name Taxonomy Address Enumeration
1245755875 Jacob Tanner Physical Therapist 1111 Corporate Park Dr Ste B, Forest, VA 24551-2279 2017-08-04
1467772806 Jacob C Tanner Counselor 13800 Heacock St Ste C236, Moreno Valley, CA 92553-3364 2010-06-08

Office Location

Street Address 1054 TOWN AND FOUR PARKWAY DR
City CREVE COEUR
State MO
Zip Code 63141

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679102842 Noor Ramadan Pharmacist 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 2020-04-08
1497381206 Washington University Durable Medical Equipment & Medical Supplies 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 2020-03-13
1154956498 Ashleigh Clendenny Physician Assistant Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 2020-03-06
1801429410 Emili Lou Haley Registered Nurse 650 Maryville Drive, St Louis, MO 63141 2020-02-21
1629553110 Rebecca Kathleen Pike Social Worker West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 2018-10-01
1649756099 River City Sedation Associates, LLC Nurse Anesthetist, Certified Registered 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 2018-07-18
1205333952 Ear Care and Hearing of St. Louis Hearing Aid Equipment 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 2018-04-10
1659897486 Erin Goodman Physical Therapist 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 2017-08-14
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
1780105452 James Bryan Schrader Counselor 12648 Olive Blvd, Behavioral Heath Response, St. Louis, MO 63141 2017-07-03
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285089607 Joseph Paulson Demosthene Specialist/Technologist 655 Craig Rd Ste 160, Creve Coeur, MO 63141-7173 2016-05-04
1205870433 John Jerome Barrett Specialist/Technologist 633 Emerson Rd Ste 20, Creve Coeur, MO 63141-6739 2006-06-16
1043744188 Sarah Haenchen Specialist/Technologist 633 Emerson Rd Ste 20, Creve Coeur, MO 63141 2017-04-15
1558895086 Daniel Richard Smith Specialist/Technologist 633 Emerson Rd Ste 20, Creve Coeur, MO 63141-6739 2017-04-11
1497293435 Daniel Herrin Specialist/Technologist 633 Emerson Rd, Suite 20, Creve Coeur, MO 63141-6739 2017-02-10
1124418603 Lindsey Sumner Knapp Specialist/Technologist 633 Emerson Rd Ste 20, Creve Coeur, MO 63141-6739 2015-02-04
1114315140 Benjamin Hicks Specialist/Technologist 633 Emerson Rd, Suite 20, Creve Coeur, MO 63141-6739 2014-12-29
1760756126 Nathaniel Larue Burney Specialist/Technologist 633 Emerson Rd, Suite 20, Creve Coeur, MO 63141-6739 2012-03-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467051516 Kangjun Lee Specialist/Technologist 901 S. National Ave., Springfield, MO 65897 2020-10-20
1114525631 Kaylen A Howard Specialist/Technologist No, No, MO 63119 2020-10-16
1548868334 Alexander Kenneth Hollingsworth Specialist/Technologist 1904 Franklin Ave, Lexington, MO 64067-1705 2020-10-13
1164020335 Taylor Fumagalli Specialist/Technologist 1421 Woodstone Dr, Saint Charles, MO 63304-6866 2020-10-11
1265039192 Carley M Swabby Specialist/Technologist 652 Bismark Ave, Saint Louis, MO 63119-1528 2020-10-05
1275144891 Tiffany Hallacy Specialist/Technologist 5014 Walnut St Apt D, Kansas City, MO 64112-2641 2020-08-17
1306464011 Dustin Flynn Specialist/Technologist 541 Huntley Heights Dr, Ballwin, MO 63021-5884 2020-07-09
1851916878 Olivia Marie Bogolin Specialist/Technologist 111 Timber Trace Xing, Wentzville, MO 63385-2124 2020-06-15
1417571464 Jessica Burgason Specialist/Technologist 24173 State Highway F, Kirksville, MO 63501-8009 2020-06-05
1225651664 Ashley Marie Garlock Specialist/Technologist 1308 S Halliburton St, Kirksville, MO 63501-4456 2020-05-20
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Competitor

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City CREVE COEUR
Zip Code 63141

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Dataset Information

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.

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