Individual provider Active NPI

Anita L Tanner, PA

  • Medical Physician Assistant
  • Bethany, OK
National Provider Identifier
1346206331
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA693 Issued in OK
Practice address
6820 NW 23Rd St
Bethany, OK 73008
Phone
(405) 495-0070
Fax
(405) 787-0062
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA693 OK Primary

Addresses

Primary practice location

6820 NW 23Rd St
Bethany, OK 73008

Mailing address

2801 Parklawn Dr
Ste 100
Midwest City, OK 73110-4224
Phone (405) 495-0070

Other identifiers 1

IdentifierTypeStateIssuer
100132360AMedicaidOK

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040426000660 OK Practitioner - Physician Assistant 6406842285 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Physicians at Home, IncGroup PAC ID 7012138662, 10 clinicians
Janet Fanning MD PCGroup PAC ID 0840410940, 2 clinicians

Practice addresses (Care Compare)

1920 E 1St St
Suite F
Chandler, OK 74834-2439
Phone 4056540013100

937 SW 89TH St
Suite a
Oklahoma City, OK 73139-9231
Phone (405) 702-4777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
693OKMDMental Health Counselor
PA693OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC CurrentSince Oct 9, 2021 Accepting new patients
Best Physicians at Home, Inc CurrentSince Jan 23, 2026 Accepting new patients
Healdton Municipal Hospital (SNF) Past Accepting new patients
Mercy Health Network of the Southern Region Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

511 E 1st St
Chandler, OK 74834
Phone (405) 258-0014

1920 E 1st St
Ste F
Chandler, OK 74834
Phone (405) 255-2155

2525 NW Expressway St
Ste 102
Oklahoma City, OK 73112
Phone (405) 213-0190

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21335/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346206331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 PARKLAWN DR",
            "address_2": "STE 100",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104224",
            "telephone_number": "405-495-0070",
            "fax_number": "405-787-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "73008",
            "telephone_number": "405-495-0070",
            "fax_number": "405-787-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "ANITA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-07-13",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "PA693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100132360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

Sources for this page

Verify at the official NPI Registry.