Jeremy G Tanner, APN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

0090470 Issued in OK

Practice address

3400 W Tecumseh Rd
100
Norman, OK 73072-1810

Phone

(405) 307-6900

Fax

(405) 307-6906

NPI assigned

Mar 4, 2013

Sex

Male

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

Enrolled in OK

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Immediate Care of Oklahoma LLCGroup PAC ID 2668540774, 34 clinicians

Ico Primary Care, LLCGroup PAC ID 6901240910, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ico Primary Care, LLC

  • Primary Care Clinic/Center
  • Choctaw, OK
  • NPI 1568144996
  Medicare reassignment Care Compare group NPD
• Immediate Care of Oklahoma LLC

  • Urgent Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1164697694
  Medicare reassignment Care Compare group NPD
• Immediate Care of Oklahoma

  • Urgent Care Clinic/Center
  • Choctaw, OK
  • NPI 1881448710
  NPD
• Immediate Care of Oklahoma LLC

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1154753614
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1275874026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 S I 35 SERVICE RD",
            "address_2": "SUITE 106",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731492906",
            "telephone_number": "405-600-6869",
            "fax_number": "405-600-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W TECUMSEH RD",
            "address_2": "100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721810",
            "telephone_number": "405-307-6900",
            "fax_number": "405-307-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "JEREMY",
        "middle_name": "G",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "0090470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Paul Talley, BSW
• Robert Talley, DDS
• Taylor Paige Tamage, PA
• Rossie Tamayo
• Jonathan Tang, M.D.
• Jonathan Neal Tarman, CPRSS
• Allison Tate, RBT
• Micah Tate, RBT
• Robert Z Tate Jr.
• Robbie Lyn Tatom, LCSW

• Primary Care Nurse Practitioner in Norman, OK
• Providers in Norman, OK by specialty
• Primary Care Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.