Individual provider Active NPI

Scott Lee Tanner, CRNA

  • Certified Registered Nurse Anesthetist
  • Crystal River, FL
National Provider Identifier
1841264124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP1707892 Issued in FL
Practice address
14046 W Siren CT
Crystal River, FL 34429-5188
Phone
(863) 446-0950
NPI assigned
Feb 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R82029 OK
Certified Registered Nurse Anesthetist 367500000X ARNP1707892 FL Primary

Addresses

Primary practice location

14046 W Siren CT
Crystal River, FL 34429-5188

Mailing address

14046 W Siren CT
Crystal River, FL 34429-5188
Phone (863) 446-0950

Other identifiers 1

IdentifierTypeStateIssuer
G2007OtherFLBCBS

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
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP1707892FLMDCertified Registered Nurse Anesthetist
R82029OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 18, 2018 Accepting new patients
Florence Surgery & Laser Center LLC CurrentSince May 1, 2018 Accepting new patients
Coastal Healthcare Resources Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 6, 2017 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Feb 18, 2018 Accepting new patients
Florence Surgery & Laser Center LLC CurrentSince May 1, 2018 Accepting new patients
North Tampa Anesthesia Consultants Past Accepting new patients
Ocala Regional Medical Center Anesthesia Inc Past Accepting new patients
Ft. Walton Beach Anesthesia Services LLC Past Accepting new patients
Mobile Anesthesia Associates LLC Past Accepting new patients
Florida Pain Relief Group PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients
Jackson Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients
Michael E Donohoe Crna Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Ocala Surgical Center Anesthesia Inc Past Accepting new patients
Sacher Anesthesia and Pain Management Inc Past Accepting new patients
Pine Ridge Indian Health Service Hospital Past Accepting new patients

Locations

101 W 27th St
Lumberton, NC 28358
Phone (910) 739-0770

400 N Cashua Dr
Florence, SC 29501
Phone (843) 664-9398

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941

Organizations & group practices 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841264124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14046 W SIREN CT",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295188",
            "telephone_number": "863-446-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14046 W SIREN CT",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295188",
            "telephone_number": "863-446-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "SCOTT",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R82029",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP1707892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G2007",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.