Penny Leah Tanner, P.S.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PENNY LEAH TANNER, P.S.

Doing business as

Aim Behavioral Health Specialists
Bridgeport Behavioral Health

Practice address

38103 Mountain Hwy E
Eatonville, WA 98328-9202

Phone

(253) 581-6106

Fax

(360) 832-6211

NPI assigned

Aug 1, 2019

Last updated

Jan 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Penny L Tanner, ARNP,PH.D.,PMHNP-BCNPI 1922156645

Title

P.S

Phone

(253) 581-6106

Specialties & licenses 1

Addresses

Other names 2

• AIM BEHAVIORAL HEALTH SPECIALISTS Doing business as
• Bridgeport Behavioral Health Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Penny Leah Tanner, PHD, ARNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Eatonville, WA
  • NPI 1922156645
  NPD Authorized official
• SE Won Min

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellevue, WA
  • NPI 1720646771
  NPD (past)

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1396390845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38103 MOUNTAIN HWY E",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "983289202",
            "telephone_number": "253-581-6106",
            "fax_number": "360-832-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38103 MOUNTAIN HWY E",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "983289202",
            "telephone_number": "253-581-6106",
            "fax_number": "360-832-6211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2747 Pacific Ave SE Ste B19",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985012094",
            "country_code": "US",
            "telephone_number": "253-581-6106",
            "fax_number": "360-832-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENNY LEAH TANNER, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "P.S",
        "authorized_official_telephone_number": "253-581-6106",
        "authorized_official_credential": "ARNP,PH.D.,PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIM BEHAVIORAL HEALTH SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridgeport Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Eatonville, WA
• Providers in Eatonville, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.