Individual provider Active NPI

Tanner Busacker, NRP

  • Paramedic
  • Bend, OR
National Provider Identifier
1902732696
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
210241 Issued in OR
Practice address
62980 Boyd Acres Rd
Bend, OR 97701-8289
Phone
(541) 639-9993
NPI assigned
Jun 20, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 82953 OK
Paramedic 146L00000X 83032 NV
Paramedic 146L00000X AZ00013748 AZ
Paramedic 146L00000X 22508036 AK
Paramedic 146L00000X 210241 OR Primary

Addresses

Primary practice location

62980 Boyd Acres Rd
Bend, OR 97701-8289

Mailing address

4107 E Overland Rd Unit B202
Meridian, ID 83642-8400

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1902732696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 E OVERLAND RD UNIT B202",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62980 BOYD ACRES RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018289",
            "telephone_number": "541-639-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSACKER",
        "first_name": "TANNER",
        "credential": "NRP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-20",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "OK",
            "license": "82953",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "NV",
            "license": "83032",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AZ",
            "license": "AZ00013748",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AK",
            "license": "22508036",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "OR",
            "license": "210241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; 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.