Individual provider Active NPI

Tanna Lynn Anderson, APRN-NP

  • Neonatal Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1629208608
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
111041 Issued in NE
Practice address
987740 Nebraska Medical Ctr
Neonatal Intensive Care Unit
Omaha, NE 68198-7740
Phone
(402) 559-4442
Fax
(402) 559-8685
NPI assigned
Jul 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 111041 NE Primary

Addresses

Primary practice location

987740 Nebraska Medical Ctr
Neonatal Intensive Care Unit
Omaha, NE 68198-7740

Mailing address

12055 Grant St
Omaha, NE 68164-3452
Phone (402) 884-2632

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
111041NEMDNeonatal Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tanderson34742@direct.nebraskamed.com

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1629208608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12055 GRANT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643452",
            "telephone_number": "402-884-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987740 NEBRASKA MEDICAL CTR",
            "address_2": "NEONATAL INTENSIVE CARE UNIT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681987740",
            "telephone_number": "402-559-4442",
            "fax_number": "402-559-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TANNA",
        "middle_name": "LYNN",
        "credential": "APRN-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NE",
            "license": "111041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.