Active NPI
Tanner McKay
- Case Manager/Care Coordinator
- Salt Lake City, UT
National Provider Identifier
1588356158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- ACM-01813
- Practice address
- 130 N 2100 W
Salt Lake City, UT 84116-2991 - Phone
- (385) 347-0763
- NPI assigned
- May 23, 2023
- Last updated
- May 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | ACM-01813 | UT | Primary |
Addresses
Primary practice location
130 N 2100 W
Salt Lake City, UT 84116-2991
Mailing address
568 N Locust Ave
Lindon, UT 84042-1313
Phone (801) 473-6601
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACM-01813 | UT | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1588356158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "568 N LOCUST AVE",
"city": "LINDON",
"state": "UT",
"postal_code": "840421313",
"telephone_number": "801-473-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 N 2100 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841162991",
"telephone_number": "385-347-0763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "TANNER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "UT",
"license": "ACM-01813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.