Active NPI
April Ann Tanis, LMP
- Specialist
- Everett, WA
National Provider Identifier
1730470766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00024775
- Practice address
- 11314 4TH Ave W Ste 103
Everett, WA 98204-6926 - Phone
- (425) 355-3739
- NPI assigned
- Apr 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00024775 | WA | Primary |
Addresses
Primary practice location
11314 4TH Ave W Ste 103
Everett, WA 98204-6926
Mailing address
6531 67TH PL NE
Marysville, WA 98270-5310
Phone (425) 359-7639
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 |
|---|---|---|---|
| MA00024775 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303689600000",
"number": "1730470766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6531 67TH PL NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982705310",
"telephone_number": "425-359-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11314 4TH AVE W STE 103",
"city": "EVERETT",
"state": "WA",
"postal_code": "982046926",
"telephone_number": "425-355-3739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANIS",
"first_name": "APRIL",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-25",
"last_updated": "2011-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00024775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.