Natasha N Tanner

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25647 Issued in MN

Practice address

716 E St NE
Brainerd, MN 56401-2857

Phone

(218) 828-7379

Fax

(218) 828-7390

NPI assigned

Dec 7, 2021

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

Enrolled in MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Shine on Speech Therapy LLC

  • Speech-Language Pathologist
  • Baxter, MN
  • NPI 1285464107
  NPD

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1306504311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E ST NE",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564012857",
            "telephone_number": "218-828-7379",
            "fax_number": "218-828-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E ST NE",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564012857",
            "telephone_number": "218-828-7379",
            "fax_number": "218-828-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "NATASHA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Ann Swanson, WHNP
• Taylor Jay Swanson, OD
• Katie Jene Garrey Swenson, MS, LPCC
• Jessica Tabatt, D.P.M.
• Philip B Tange, MSW
• Tyra Lee Taylor, MSW, LICSW
• Angela Mae Teckemeyer, APRN, DNP
• Telic Family Chiropractic
• Telic Family Chiropractic PA
• Tender Care Nursing, Inc.

• Clinical Social Worker in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.