Active NPI
Christina L Tanner, CRNA
- Certified Registered Nurse Anesthetist
- Morehead, KY
National Provider Identifier
1760766414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1099532
- Practice address
- 222 Medical Cir
Morehead, KY 40351-1179 - Phone
- (606) 783-6400
- NPI assigned
- Sep 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | COA.12654-NA | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 1099532 | KY | Primary |
Addresses
Primary practice location
222 Medical Cir
Morehead, KY 40351-1179
Mailing address
1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-6942
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1099532 | Other | KY | KY MEDICAL LICENSE |
| 0076316 | Medicaid | OH | |
| 7100411890 | Medicaid | KY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1099532 | KY | MD | Certified Registered Nurse Anesthetist |
| COA.12654-NA | OH | MD | Certified Registered Nurse Anesthetist |
Interoperability endpoints
- christina.tanner@somc.medicity.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1760766414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 27TH ST STE B06",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622681",
"telephone_number": "740-356-6942",
"fax_number": "740-356-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MEDICAL CIR",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511179",
"telephone_number": "606-783-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "CHRISTINA",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA.12654-NA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1099532",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICAL LICENSE",
"identifier": "1099532",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076316",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100411890",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morehead, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.