Individual provider Active NPI

Erin E. Tanner, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Paxton, MA
National Provider Identifier
1073920799
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
258373 Issued in MA
Practice address
579 Pleasant St Ste 1
Paxton, MA 01612-1307
Phone
(508) 978-1945
Fax
(508) 213-3675
NPI assigned
Jul 15, 2014
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN258373 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 258373 MA Primary

Addresses

Primary practice location

579 Pleasant St Ste 1
Paxton, MA 01612-1307

Mailing address

579 Pleasant St Ste 1
Paxton, MA 01612-1307
Phone (508) 978-1945

Other names 1

  • Erin E. Mahoney / Keller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
258373MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Mental Health and Wellness, PLLC Psychiatric/Mental Health CurrentSince Oct 13, 2024 Accepting new patients
Boston Neurobehavioral Associates, LLC CurrentSince Mar 1, 2020 Accepting new patients
DRX UC Worcester PC CurrentSince Oct 17, 2015 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Oct 17, 2015 Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients

Locations

226 Field St
New Bedford, MA 02740
Phone (508) 213-1387

579 Pleasant St
Ste 1
Paxton, MA 01612
Phone (508) 978-1945

117 Stafford St
Ste A
Worcester, MA 01603
Phone (508) 755-4010

926 W Boylston St
Worcester, MA 01606
Phone (205) 403-8902

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1073920799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 PLEASANT ST STE 1",
            "city": "PAXTON",
            "state": "MA",
            "postal_code": "016121307",
            "telephone_number": "508-978-1945",
            "fax_number": "508-213-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 PLEASANT ST STE 1",
            "city": "PAXTON",
            "state": "MA",
            "postal_code": "016121307",
            "telephone_number": "508-978-1945",
            "fax_number": "508-213-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "ERIN",
        "middle_name": "E.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN258373",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "258373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MAHONEY / KELLER",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paxton, MA

Sources for this page

Verify at the official NPI Registry.