Katie W Tanner

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007513 Issued in GA

Practice address

1309 W Screven St
Quitman, GA 31643-1819

Phone

(229) 263-7868

NPI assigned

Oct 29, 2019

Last updated

Sep 16, 2020By the provider in NPPES

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

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": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1205470655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CAIRO RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W SCREVEN ST",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316431819",
            "telephone_number": "229-263-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "KATIE",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Health District (Brooks County Board of Health)
• Southern Regional EMS LLC
• Amber Stanfield
• Still Standing 2000, Inc (Family and Community Partners)
• Susan M. Harding MD PC
• Belinda Dale Tate
• The Hospital Authority of Brooks County, Georgia (Presbyterian Home Quitman)
• The Nightingale Clinic, PC
• Amy Thomas
• Total Renal Care Inc (Quitman Dialysis)

• Occupational Therapist in Quitman, GA
• Providers in Quitman, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.