Individual provider Active NPI

Katie L Tanner, FNP-C

  • Family Nurse Practitioner
  • Highlands Ranch, CO
National Provider Identifier
1831604800
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0993476-NP Issued in CO
Practice address
9331 S Colorado Blvd Ste 100
Highlands Ranch, CO 80126-7465
Phone
(303) 795-8177
NPI assigned
Dec 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209018876 IL
Family Nurse Practitioner 363LF0000X APN.0993476-NP CO Primary

Addresses

Primary practice location

9331 S Colorado Blvd Ste 100
Highlands Ranch, CO 80126-7465

Mailing address

9331 S Colorado Blvd Ste 100
Highlands Ranch, CO 80126-7465
Phone (303) 795-8177

Other practice location 1

2551 N Clark St Ste 100
Chicago, IL 60614-7737
Phone (773) 388-2322

Other practice location 2

2551 N Clark St Ste 100
Chicago, IL 60614-7737
Phone (773) 388-2322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102000489 CO Practitioner - Nurse Practitioner 7810220480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Allergy and Asthma Centers PCGroup PAC ID 9133012842, 25 clinicians

Practice addresses (Care Compare)

9331 S Colorado Blvd
Suite 100
Highlands Ranch, CO 80126-7465
Phone (303) 795-8177

Merit-based Incentive Payment System (MIPS)

Final score
64.87 of 100Reported as group
Quality
41.92
Promoting interoperability
62
Improvement activities
40
Cost
72.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Allergy and Asthma Centers, PC CurrentSince Oct 1, 2022 Accepting new patients
Colorado Allergy and Asthma Centers, PC CurrentSince Oct 1, 2022 Accepting new patients

Locations

3980 Limelight Ave
Ste D
Castle Rock, CO 80109
Phone (720) 858-7470

13111 E Briarwood Ave
Ste 340
Centennial, CO 80112
Phone (303) 632-3694

125 Rampart Way
Ste 200
Denver, CO 80230
Phone (720) 858-7550

9331 S Colorado Blvd
Ste 100
Highlands Ranch, CO 80126
Phone (303) 795-8177

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1831604800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9331 S COLORADO BLVD STE 100",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267465",
            "telephone_number": "303-795-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 S COLORADO BLVD STE 100",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267465",
            "telephone_number": "303-795-8177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2551 N Clark St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606147737",
            "country_code": "US",
            "telephone_number": "773-388-2322",
            "fax_number": "773-388-2333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2551 N Clark St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606147737",
            "country_code": "US",
            "telephone_number": "773-388-2322",
            "fax_number": "773-388-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNER",
        "first_name": "KATIE",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018876",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993476-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.