Individual provider Active NPI

Tanner Rapp, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1144992314
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61273001 Issued in WA
Practice address
611 W a St
Yakima, WA 98902-2605
Phone
(509) 961-6336
Fax
(509) 452-1004
NPI assigned
Oct 5, 2021
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP61469690 WA
Community Health Registered Nurse 163WC1500X RN60912791 WA
Family Nurse Practitioner 363LF0000X AP61273001 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61273001 WA Primary

Addresses

Primary practice location

611 W a St
Yakima, WA 98902-2605

Mailing address

611 W a St
Yakima, WA 98902-2605
Phone (509) 961-6336

Other practice location 1

1 Shanee Ct
Selah, WA 98942-5903
Phone (509) 961-6336

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tlr62@georgetown.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220323002416 WA Practitioner - Nurse Practitioner 3173918455 Reassigns benefits to 1 organization
I20221027002130 NM Practitioner - Nurse Practitioner 3173918455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
80.23
Promoting interoperability
82
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP61469690WAMDAddiction (Substance Use Disorder) Counselor
RN60912791WAMDCommunity Health Registered Nurse
AP61273001WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Valley Counseling Services, LLC Addiction (Substance Use Disorder) CurrentSince Dec 3, 2023 Accepting new patients
Cura Healthcare Family CurrentSince May 1, 2024 Accepting new patients

Locations

8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719

5821 188th St SW
Lynnwood, WA 98037
Phone (425) 776-5512

7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530

611 W A St
Yakima, WA 98902
Phone (509) 452-1000

Organizations & group practices 3

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1144992314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W A ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022605",
            "telephone_number": "509-961-6336",
            "fax_number": "509-452-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W A ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022605",
            "telephone_number": "509-961-6336",
            "fax_number": "509-452-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Shanee Ct",
            "address_purpose": "LOCATION",
            "city": "Selah",
            "state": "WA",
            "postal_code": "989425903",
            "country_code": "US",
            "telephone_number": "509-961-6336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPP",
        "first_name": "TANNER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61469690",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WA",
            "license": "RN60912791",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61273001",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61273001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tlr62@georgetown.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "1 Shanee Ct",
            "city": "Selah",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989425903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.