Active NPI
Tanner George
- Student in an Organized Health Care Education/Training Program
- Portland, ME
National Provider Identifier
1316855380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- RN85636
- Practice address
- 716 Stevens Ave
Portland, ME 04103-2693 - Phone
- (207) 221-4516
- NPI assigned
- Aug 31, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RN85636 | ME | Primary |
Addresses
Primary practice location
716 Stevens Ave
Portland, ME 04103-2693
Mailing address
133 Deer Run Rd
Bowdoin, ME 04287-7649
Phone (814) 650-5505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1316855380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 DEER RUN RD",
"city": "BOWDOIN",
"state": "ME",
"postal_code": "042877649",
"telephone_number": "814-650-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 STEVENS AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032693",
"telephone_number": "207-221-4516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "TANNER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "ME",
"license": "RN85636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.