Leslie Michelle Tanner, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

213341-4405 Issued in UT

Practice address

1750 N Wymount Terrace Dr
Provo, UT 84602-4800

Phone

(801) 422-2771

Fax

(801) 422-0761

NPI assigned

Dec 24, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brigham Young University

  • Family Medicine Physician
  • Provo, UT
  • NPI 1790175628
  NPD (past)
• Brigham Young University

  • Point of Service
  • Provo, UT
  • NPI 1942276092
  NPD (past)

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1780868976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N WYMOUNT TERRACE DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846024800",
            "telephone_number": "801-422-2771",
            "fax_number": "801-422-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N WYMOUNT TERRACE DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846024800",
            "telephone_number": "801-422-2771",
            "fax_number": "801-422-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "LESLIE",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "213341-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Brown Tanner
• Boyd D Tanner, PA.C
• Brooke Tanner
• Christi Tanner
• Dillon Rees Tanner, PMHNP
• Matthew Alan Tanner
• Tanra Therapy
• Sharon J Tapahe
• Lauren Tarbet, LCSW
• Brooke Tate

• Primary Care Nurse Practitioner in Provo, UT
• Providers in Provo, UT by specialty
• Primary Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.