Active NPI
Howard Franklin Tanner II, MPA, MA, CCC-SLP
- Speech-Language Pathologist
- Jackson, MI
National Provider Identifier
1407412653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101004186
- Practice address
- 102 East Michigan Avenue
Jackson, MI 49201 - Phone
- (517) 581-0475
- NPI assigned
- May 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101004186 | MI | Primary |
Addresses
Primary practice location
102 East Michigan Avenue
Jackson, MI 49201
Mailing address
4293 Kelsey Ave
Adrian, MI 49221-3685
Phone (517) 206-3699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101004186 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1407412653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4293 KELSEY AVE",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492213685",
"telephone_number": "517-206-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 EAST MICHIGAN AVENUE",
"city": "JACKSON",
"state": "MI",
"postal_code": "49201",
"telephone_number": "517-581-0475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "HOWARD",
"middle_name": "FRANKLIN",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "MPA, MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-14",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101004186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.