Tana H Yates, CRNP-A

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

R162103 Issued in MD

Practice address

2002 Medical Pkwy
Suite 120
Annapolis, MD 21401-3046

Phone

(443) 481-5300

Fax

(443) 481-6705

NPI assigned

Jul 26, 2005

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

Other identifiers 3

Other names 1

• Ms. Tana H Copeland Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1487654976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64294",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644294",
            "telephone_number": "410-280-6573",
            "fax_number": "410-280-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY",
            "address_2": "SUITE 120",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013046",
            "telephone_number": "443-481-5300",
            "fax_number": "443-481-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "TANA",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "CRNP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "R162103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00347745",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "0006",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "64282101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANA",
            "last_name": "COPELAND",
            "middle_name": "H",
            "prefix": "MS.",
            "credential": "CRNP-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Octavia Genise Yancey, CRNP
• Ellen Y Yang, M.D.
• Jessica Yang, O.D.
• Scott Thomas Yanus, DPT
• Julia Margaret Yates, AUD
• Matthew Yeazel, LCSW-C
• Brianne Juhyung Yi, DDS
• Kristin Yip, OTR/L
• Grace Yoo, MSN, APRN, BSN, NP-C
• James J York, MD

• Surgery Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.