Active NPI
Tanya S Tanner, PHD APN CNM PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Broomfield, CO
National Provider Identifier
1437147444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN.0996437-NP
- Practice address
- 80 Garden Ctr Ste 138
Broomfield, CO 80020-1790 - Phone
- (720) 415-0101
- Fax
- (833) 907-2210
- NPI assigned
- Oct 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 2154 | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.0996437-NP | CO | Primary |
Addresses
Primary practice location
80 Garden Ctr Ste 138
Broomfield, CO 80020-1790
Mailing address
11164 Cherokee St
Northglenn, CO 80234-3918
Phone (303) 918-9828
Other practice location 1
11164 Cherokee St
Northglenn, CO 80234-3918
Phone (720) 415-0101
Other practice location 2
12687 Locust Way
Thornton, CO 80602-4664
Phone (720) 415-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90409523 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- University of Utah School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Northglenn, CO 80234
Phone (720) 415-0101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2154 | CO | MD | Clinical Psychologist |
| APN.0996437-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cultivate Mental Health PC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
80 Garden Ctr
Ste 138
Broomfield, CO 80020
Phone (720) 415-0101
Interoperability endpoints
- https://api.platform.athenahealth.com/24067/brand/1/csg/1/fhir/r4
- tanya.tanner.1@24067.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Broomfield, CO
- NPI 1023691490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683936000000",
"number": "1437147444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11164 CHEROKEE ST",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802343918",
"telephone_number": "303-918-9828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 GARDEN CTR STE 138",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201790",
"telephone_number": "720-415-0101",
"fax_number": "833-907-2210"
}
],
"practiceLocations": [
{
"address_1": "11164 Cherokee St",
"address_purpose": "LOCATION",
"city": "Northglenn",
"state": "CO",
"postal_code": "802343918",
"country_code": "US",
"telephone_number": "720-415-0101",
"fax_number": "303-529-3167",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12687 Locust Way",
"address_purpose": "LOCATION",
"city": "Thornton",
"state": "CO",
"postal_code": "806024664",
"country_code": "US",
"telephone_number": "720-415-0101",
"fax_number": "833-907-2210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANNER",
"first_name": "TANYA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHD APN CNM PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2023-05-13",
"certification_date": "2023-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CO",
"license": "2154",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "APN.0996437-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90409523",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
- Katherine Tackett, N.D.
- Take Care Health Colorado, Inc.
- Brittany Talbot, COTA/L
- Leslie Tamayo
- Jose Resma Tanega
- Karen F Taylor, LMT
- Mary L Taylor, MSN, PMHNP
- Teamselect Home Care of Colorado, LLC (Team Select Home Care)
- Weihong Teng
- Tequila Sunrise Broomfield PLLC (Dental and implant centers of Colorado)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2023; 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.