Sara S Tanner

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L20547 Issued in NM

Practice address

914 N Canal St
Carlsbad, NM 88220-5110

Phone

(575) 885-4836

Fax

(575) 887-9579

NPI assigned

Sep 2, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sara S Daub Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1043443344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N CANAL ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205110",
            "telephone_number": "575-885-4836",
            "fax_number": "575-887-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N CANAL ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205110",
            "telephone_number": "575-885-4836",
            "fax_number": "575-887-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "SARA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NM",
            "license": "L20547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "DAUB",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elaina C Swanson, MS, LPC, LMHC, NCC
• Lorri Swarney, COTA
• Synergy Behavioral Health, P. C.
• Taddy Healthcare Services
• Abebaw Dejene Tadesse, PHARMD
• Wendy L Tavarez
• Daniel Forest Taylor, M.D.
• Levi Taylor
• Joel Martial Martial Tchafack Kaze
• Thirty-Two Pearls Smile Spa

• Licensed Practical Nurse in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Licensed Practical Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.