Individual provider Active NPI

Kelsey Tanner

  • Behavior Analyst
  • Knoxville, TN
National Provider Identifier
1174280226
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2129 Issued in TN
Practice address
408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648
Phone
(865) 888-5818
NPI assigned
Nov 23, 2021
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2129 TN Primary

Addresses

Primary practice location

408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648

Mailing address

113 Royal Heights Dr
Knoxville, TN 37920-5053
Phone (615) 545-1583

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.lifeconnectionsknox.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1174280226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ROYAL HEIGHTS DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379205053",
            "telephone_number": "615-545-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N CEDAR BLUFF RD STE 305",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233648",
            "telephone_number": "865-888-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "2129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.lifeconnectionsknox.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "408 N Cedar Bluff Rd Ste 305",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379233648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.