Active NPI
Jeremie Lynn Tanner
- Family Nurse Practitioner
- Del Norte, CO
National Provider Identifier
1497652028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.1002523-NP
- Practice address
- 514 Rio Bravo TRL
Del Norte, CO 81132-9803 - Phone
- (505) 570-0751
- NPI assigned
- Oct 26, 2026
- Last updated
- Oct 26, 2026
- 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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN.1617671 | CO | |
| Family Nurse Practitioner | 363LF0000X | APN.1002523-NP | CO | Primary |
Addresses
Primary practice location
514 Rio Bravo TRL
Del Norte, CO 81132-9803
Mailing address
514 Rio Bravo TRL
Del Norte, CO 81132-9803
Phone (505) 570-0751
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792972800000",
"number": "1497652028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 RIO BRAVO TRL",
"city": "DEL NORTE",
"state": "CO",
"postal_code": "811329803",
"telephone_number": "505-570-0751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 RIO BRAVO TRL",
"city": "DEL NORTE",
"state": "CO",
"postal_code": "811329803",
"telephone_number": "505-570-0751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "JEREMIE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-26",
"last_updated": "2026-10-26",
"certification_date": "2026-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "CO",
"license": "RN.1617671",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.1002523-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Del Norte, CO
- Joshua Segura
- Kaylin Nichelle Shifrar, RDH
- David Ronald Silva, DO
- Susan Stuebs, RN
- Brittany L Sullivan
- Patrick James Thompson, MD
- Cinnamon Tidwell
- Marco Lorenzo Tamondong Tiuseco, PT
- Valley Citizens' Foundation for Health Care Inc (Rio Grande Hospital)
- Valley Citizens' Foundation for Health Care Inc (Rio Grande Hospital Rural Health Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.