ROBERTA TANNER (NPI# 1972769909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972769909 |
| Entity Type | Individual |
| Full Name | ROBERTA TANNER |
| Credential | APRN-RX, FNP-C |
| Practice Address |
450 Kilauea Ave Ste. 105 Bay Clinic, Inc. Hilo HI 96720-3089 |
| Mailing Address |
Hc 2 Box 9608 Keaau HI 96749-9332 |
| Practice Telephone | 8089614071 |
| Practice Fax Number | 8089615678 |
| Mailing Telephone | 8085422742 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2017-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN-22282 | HI | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1427 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
450 KILAUEA AVE STE. 105 BAY CLINIC, INC. |
| City | HILO |
| State | HI |
| Zip Code | 96720-3089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545520 | Michelle Monteiro Franz | Nurse Practitioner | 670 Ponahawai St Ste 117, Hilo, HI 96720-7831 | 2020-07-22 |
| 1871092106 | Rachael Karla Misitano | Nurse Practitioner | 1600 Kaumana Dr, Hilo, HI 96720-1407 | 2018-02-01 |
| 1316375900 | Hawaii Physicians Association LLC | Nurse Practitioner | 80 Pauahi St Ste 103, Hilo, HI 96720-3043 | 2013-10-17 |
| 1053746941 | Kelly Leialoha Luscomb | Nurse Practitioner | 80 Pauahi St Ste 101, Hilo, HI 96720-3043 | 2013-09-10 |
| 1942548334 | Landon Tyler Collins | Nurse Practitioner | Hilo Bone & Joint, 73 Pu'uhonu Pl., Suite 100, Hilo, HI 96720 | 2013-01-21 |
| 1871108167 | Amy A Hanapi | Nurse Practitioner | 75 Puuhonu Pl Ste 205, Hilo, HI 96720-2000 | 2020-09-13 |
| 1144835018 | Chayata Wongpojanee Otsuka | Nurse Practitioner | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-09-08 |
| 1003479304 | Joyce Margaret Norris-taylor | Nurse Practitioner | 200 W Kawili St, Hilo, HI 96720-4075 | 2019-04-22 |
| 1932683273 | Deborah Michiko Fried | Nurse Practitioner | 41 Hoku St, Hilo, HI 96720-3816 | 2018-09-22 |
| 1184129181 | Haley K Rosehill-reiger | Nurse Practitioner | 409 Kilauea Ave, Hilo, HI 96720-3009 | 2018-03-30 |
| Find all providers in HILO | ||||
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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.