Active NPI
Stephanie Tanner, RN
- Registered Nurse
- Barnesville, GA
National Provider Identifier
1245029289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 97910
- Practice address
- 136 Ledbetter Rd
Barnesville, GA 30204-3811 - Phone
- (402) 432-5482
- NPI assigned
- May 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 97910 | NE | Primary |
Addresses
Primary practice location
136 Ledbetter Rd
Barnesville, GA 30204-3811
Mailing address
136 Ledbetter Rd
Barnesville, GA 30204-3811
Phone (402) 432-5482
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97910 | NE | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1245029289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 LEDBETTER RD",
"city": "BARNESVILLE",
"state": "GA",
"postal_code": "302043811",
"telephone_number": "402-432-5482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 LEDBETTER RD",
"city": "BARNESVILLE",
"state": "GA",
"postal_code": "302043811",
"telephone_number": "402-432-5482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "STEPHANIE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-05",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "97910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barnesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.