Walter Tanner, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-100246 Issued in AL

Practice address

301 Wright St
Tuskegee, AL 36083-1558

Phone

(334) 727-5900

Fax

(334) 727-5909

NPI assigned

Oct 21, 2020

Last updated

Nov 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wltanner@direct.maniilaq.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aikam Health

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1033540232
  Medicare reassignment NPD
• Community Hospital Inc

  dba Tallassee Internal Medicine

  • Internal Medicine Physician
  • Tallassee, AL
  • NPI 1295040376
  Medicare reassignment NPD
• Aikam Health

  dba Camellia Family Medicine

  • Family Medicine Physician
  • Greenville, AL
  • NPI 1578386173
  NPD
• Community Hospital Inc

  dba Tuskegee Medical and Surgical Clinic

  • Family Medicine Physician
  • Tuskegee, AL
  • NPI 1922135425
  NPD
• Maniilaq Association

  dba Maniilaq Health Center

  • Critical Access Hospital
  • Kotzebue, AK
  • NPI 1316995210
  NPD
• Govil Health LLC

  dba All About Kids

  • Pediatrics Physician
  • Montgomery, AL
  • NPI 1518541119
  NPD (past)

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1063011005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 GOSSOM SWITCH RD",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360928578",
            "telephone_number": "334-452-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WRIGHT ST",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360831558",
            "telephone_number": "334-727-5900",
            "fax_number": "334-727-5909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2895 Zelda Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361062697",
            "country_code": "US",
            "telephone_number": "334-245-5969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNER",
        "first_name": "WALTER",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-100246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice M Stewart-Hooks, M.D.
• Barbara Lynn Sutton, LPN
• Ida S Swift, LGSW
• Gloria Swint
• Tallassee Rehab
• Vivian Tarver-Hall, CTRS
• Adrian Taylor
• Debra Tazewell, LCSW
• Tears Teens Empowerment Awareness With Resolutions, Inc. (BRIDGES Girls Home)
• The Thomas Reed Ambulatory Care Center

• Family Nurse Practitioner in Tuskegee, AL
• Providers in Tuskegee, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.