Kathryn Tanis, CNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

CNP00550 Issued in NM

Practice address

883 Lead Ave SE
Ste a
Albuquerque, NM 87102-3644

Phone

(505) 247-8820

Fax

(505) 246-9421

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1720031453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9512 ALLANDE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096618",
            "telephone_number": "505-299-2148",
            "fax_number": "505-299-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 LEAD AVE SE",
            "address_2": "STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023644",
            "telephone_number": "505-247-8820",
            "fax_number": "505-246-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIS",
        "first_name": "KATHRYN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NM",
            "license": "CNP00550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51452715",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leilani Kiyoko Tanaka, DDS
• William Daniel Tandberg, MD
• Sharon Gail Tandy, SLP
• Anjali Taneja, MD, MPH
• Brenda Ann Tanguma, LSAA
• Marianne Tank
• Elizabeth Tannaz
• Lisa Tannen
• Barbara Dawn Tanner-Torres, ACNP-BC
• Caitlyn Tanner, PHD

• Women's Health Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Women's Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.