Nicole Tanner

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

407 N Coast Hwy Ste 300
Newport, OR 97365-3117

Phone

(503) 390-5637

Fax

(541) 264-7515

NPI assigned

Dec 5, 2017

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1841705415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N COAST HWY STE 300",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653117",
            "telephone_number": "503-390-5637",
            "fax_number": "541-264-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N COAST HWY STE 300",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653117",
            "telephone_number": "503-390-5637",
            "fax_number": "541-264-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Stroebel
• Amber C Subialdea, WHNP
• Michelle D Sweat-Cordova, QMHP
• Michael Swift, DO
• Nima Tabloei, PT, DPT, MPH
• Darren Lee Taylor
• Jennifer Taylor, CADC II
• Marc Edwin Taylor, PHD
• Tayesa Michelle Tegner, QMHA
• Randall Teich, DDS

• Counselor in Newport, OR
• Providers in Newport, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.