Lynlee Renee Tanner Stapleton, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005048 Issued in VA

Practice address

2121 Eisenhower Ave
Ste 230
Alexandria, VA 22314-4698

Phone

(202) 999-9999

NPI assigned

Jul 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lynlee R Tanner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1962692814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 EISENHOWER AVE",
            "address_2": "STE 230",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EISENHOWER AVE",
            "address_2": "STE 230",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144698",
            "telephone_number": "202-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER STAPLETON",
        "first_name": "LYNLEE",
        "middle_name": "RENEE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNLEE",
            "last_name": "TANNER",
            "middle_name": "R",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Makoto Tanaka, LCSW
• Sunny Tanecka, LAC
• Arti O Tangeda, CRNA
• Theresa P Tangherlini
• Richard Tanis
• Jennilyn Paula Tannesen
• Ann Fayez Tannous, M.D.
• Diana Tapiru
• Amine Toufic Tarabey, DOCTOR OF MEDICINE
• David Arthur Tarantino Jr., MD

• Clinical Psychologist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.