Individual provider Active NPI

Kari Dawn Tanner, MOTR/L

  • Occupational Therapist
  • Miami, OK
National Provider Identifier
1558607804
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6011 Issued in OK
Practice address
310 2ND Ave SW
Miami, OK 74354-6743
Phone
(918) 540-7736
Fax
(918) 540-7739
NPI assigned
Dec 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1072 OK
Occupational Therapist 225X00000X 6011 OK Primary

Addresses

Primary practice location

310 2ND Ave SW
Miami, OK 74354-6743

Mailing address

16412 S 4415 Rd
Bluejacket, OK 74333-4341
Phone (918) 704-3460

Other names 1

  • Mrs. Kari Dawn Tanner Other name

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

State licenses

LicenseStateTypeSpecialty
6011OKMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1558607804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16412 S 4415 RD",
            "city": "BLUEJACKET",
            "state": "OK",
            "postal_code": "743334341",
            "telephone_number": "918-704-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 2ND AVE SW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546743",
            "telephone_number": "918-540-7736",
            "fax_number": "918-540-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "KARI",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "1072",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "6011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "TANNER",
            "middle_name": "DAWN",
            "prefix": "MRS.",
            "credential": "COTA/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.