Tara Gann DNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP7879 Issued in AZ

Legal business name

TARA GANN DNP

Practice address

405 W Main St Ste B
Payson, AZ 85541-5345

Phone

(928) 472-6000

Fax

(844) 752-8246

NPI assigned

Sep 29, 2017

Organization subpart

No

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

Authorized official

Name

Tara Gann, NP

Title

President

Phone

(928) 951-2189

Specialties & licenses 1

Addresses

Other names 1

• Gann Healthcare and Sleep Lab Doing business as

Locations

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1578072872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W MAIN ST STE B",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415345",
            "telephone_number": "928-472-6000",
            "fax_number": "844-752-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W MAIN ST STE B",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415345",
            "telephone_number": "928-472-6000",
            "fax_number": "844-752-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA GANN DNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "GANN",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-951-2189",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP7879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gann Healthcare and Sleep Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinton Brent Stuart, DDS
• Elizabeth Ann Summers, D.C.
• Linda Ann Swartwood, RN
• Lacey Tackett
• Roberta Tantimonaco
• Ashley Lynn Teets, DPT, PT, ATC, AT
• Tenney Rehab
• Jared Tenney, PT, MPT
• Christine Erin Tetzloff, PHD
• The Heart Program

• Primary Care Nurse Practitioner in Payson, AZ
• Providers in Payson, AZ by specialty
• Primary Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.