Tyra Tanner, DNP, RD, ANP, CNS

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024172296 Issued in VA

Practice address

9401 Courthouse Rd
Ste 202
Chesterfield, VA 23832-6687

Phone

(804) 616-4378

Fax

(804) 616-4378

NPI assigned

Dec 2, 2010

Last updated

Apr 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in VA3 enrollments

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 3

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ellad Nutrition Consulting LLCGroup PAC ID 8123271236, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ellad Nutrition Consulting, LLC

  dba ELLAD Preventative Health Services

  • Multi-Specialty Clinic/Center
  • Chesterfield, VA
  • NPI 1700123064

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD Authorized official
• TLT Consulting

  dba Be Healthy & Well

  • Multi-Specialty Clinic/Center
  • Chesterfield, VA
  • NPI 1316417918
  Medicare reassignment
• Legacy Care Aco LLC

  • Family Medicine Physician
  • Virginia BCH, VA
  • NPI 1538844857

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1326340928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2947",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238329118",
            "telephone_number": "804-616-4378",
            "fax_number": "804-616-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 COURTHOUSE RD",
            "address_2": "STE 202",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326687",
            "telephone_number": "804-616-4378",
            "fax_number": "804-616-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "TYRA",
        "name_prefix": "Dr.",
        "credential": "DNP,  RD, ANP, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024172296",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024172296",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024172296",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "VA",
            "license": "0015000947",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2010029866",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001206597",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Sumner
• Surgical Hands on,LLC
• Jaimie Sarcon Tahir, NP
• Shannon Talley, LPC
• Jamese Tanner, MS, RD, QMHP
• America Taracena
• Jennifer H Taylor
• Sandi F. Taylor, LPC
• Teach the Spectrum LLC
• Teen Option, Inc.

• Adult Health Nurse Practitioner in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.