Andrea Marie Tanner

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704338071 Issued in MI

Practice address

5710 Clio Rd
Flint, MI 48504-1525

Phone

(810) 434-0083

NPI assigned

Feb 11, 2021

Last updated

Mar 24, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hamilton Community Health Network IncGroup PAC ID 1254249196, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.tanner.1@25862.direct.athenahealth.com

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.

• Hamilton Community Health Network Inc.

  • Federally Qualified Health Center (FQHC)
  • Flint, MI
  • NPI 1386624278
  Medicare reassignment Care Compare group NPD
• Flushing Urgent Care PLC

  dba Convenient Urgent Care

  • Urgent Care Clinic/Center
  • Flushing, MI
  • NPI 1780930016
  Medicare reassignment NPD
• Hamilton Community Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Burton, MI
  • NPI 1639997257
  NPD

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1447842372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485054452",
            "telephone_number": "810-406-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 CLIO RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041525",
            "telephone_number": "810-434-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704338071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siva Talluri, M.D.
• Tina Laverne Talton-Pattilla
• Sierra C Talton
• Julie Ann Chiu Tan, P.T.
• Pacita L Tanhehco, MD
• Christopher Tanner, NP
• Salvatore Frank Taormina
• Noor Tarabishy, MD
• Belal Ahmad Tarakji, MD
• Mohamed Nael Tarakji, M.D.

• Primary Care Nurse Practitioner in Flint, MI
• Providers in Flint, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.