Alexa Tanner, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R206585 Issued in MD

Practice address

26215 Ridge Rd
Damascus, MD 20872-1829

Phone

(301) 253-1100

Fax

(301) 825-5163

NPI assigned

Jul 27, 2015

Sex

Female

Sole proprietor

No

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.

• Dal Dermatology, Inc.

  • MOHS-Micrographic Surgery Physician
  • Damascus, MD
  • NPI 1689950610

  DC

  Medicare reassignment Care Compare group NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dal Dermatology, Inc. 5 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 12, 2025.

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1497130801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 S WIND CIR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26215 RIDGE RD",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721829",
            "telephone_number": "301-253-1100",
            "fax_number": "301-825-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "ALEXA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R206585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Spradlin, PTA
• Bridget Stokes
• Strong Tower Home Health Services, LLC
• Rachel Tova Sufczynski, MS, CEP
• Kalle Marie Swinford
• Berhane Hafiso Teroro
• Nancy Thorner, M.A., CCC
• Mark Owens Thornton, M.D.
• Evan Timberlake, LCSW-C
• Ambrose Jing-Hay To, D.D.S.

• All providers in Damascus, MD
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.