Individual provider Active NPI

Tanner John Manwaring, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lehi, UT
National Provider Identifier
1275197196
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9265315-4405 Issued in UT
Practice address
3300 N Triumph Blvd Ste 500
Lehi, UT 84043-6475
Phone
(801) 821-2781
Fax
(801) 901-1194
NPI assigned
Apr 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9265315-4405 UT Primary

Addresses

Primary practice location

3300 N Triumph Blvd Ste 500
Lehi, UT 84043-6475

Mailing address

3300 N Triumph Blvd Ste 500
Lehi, UT 84043-6475
Phone (801) 821-2781

Other practice location 1

2132 N Robins Dr Ste 300
Layton, UT 84041-7077
Phone (801) 821-2781

Other practice location 2

145 W 200 N Ste 600
Provo, UT 84601-3016
Phone (801) 821-2781

Other practice location 3

6550 S Millrock Dr Ste 250
Salt Lake City, UT 84121-2331
Phone (801) 821-2781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210630000813 UT Practitioner - Nurse Practitioner 4082015805 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9265315-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anew Therapy LLC Psychiatric/Mental Health CurrentSince Jan 8, 2025 Accepting new patients

Locations

7455 S Union Park Ave
Ste B
Sandy, UT 84047
Phone (801) 280-2690

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1275197196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N TRIUMPH BLVD STE 500",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436475",
            "telephone_number": "801-821-2781",
            "fax_number": "801-901-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N TRIUMPH BLVD STE 500",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436475",
            "telephone_number": "801-821-2781",
            "fax_number": "801-901-1194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2132 N Robins Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840417077",
            "country_code": "US",
            "telephone_number": "801-821-2781",
            "fax_number": "801-901-1194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 W 200 N Ste 600",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846013016",
            "country_code": "US",
            "telephone_number": "801-821-2781",
            "fax_number": "801-901-1194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6550 S Millrock Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841212331",
            "country_code": "US",
            "telephone_number": "801-821-2781",
            "fax_number": "801-901-1194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANWARING",
        "first_name": "TANNER",
        "middle_name": "JOHN",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "9265315-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.