Roberta Tanner, APRN-RX, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1427 Issued in HI

Practice address

450 Kilauea Ave
Ste. 105 Bay Clinic, Inc.
Hilo, HI 96720-3089

Phone

(808) 961-4071

Fax

(808) 961-5678

NPI assigned

Jul 30, 2008

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

Medicare fee-for-service enrollment

Enrolled in HI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kau Hospital

  • Rural Health Clinic/Center
  • Pahala, HI
  • NPI 1144304338
  Medicare reassignment NPD
• West Hawaii Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pahoa, HI
  • NPI 1689814022

  Registered Nurse

  Medicare reassignment NPD
• Big Island Pain Center Inc.

  • Interventional Pain Medicine Physician
  • Hilo, HI
  • NPI 1255683785
  NPD
• Kau Hospital

  • Rural Health Clinic/Center
  • Pahoa, HI
  • NPI 1285450163
  NPD
• West Hawaii Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hilo, HI
  • NPI 1225086887

  Registered Nurse

  NPD
• West Hawaii Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pahoa, HI
  • NPI 1265482624

  Registered Nurse

  NPD
• West Hawaii Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hilo, HI
  • NPI 1487256491
  NPD
• S&G Labs Hawaii LLC

  • Clinical Medical Laboratory
  • Kailua Kona, HI
  • NPI 1477925188
  NPD (past)

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1972769909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 9608",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967499332",
            "telephone_number": "808-542-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 KILAUEA AVE",
            "address_2": "STE. 105 BAY CLINIC, INC.",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203089",
            "telephone_number": "808-961-4071",
            "fax_number": "808-961-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "ROBERTA",
        "credential": "APRN-RX, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-22282",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "1427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malia Pua Lokelani Tallett, PT
• Brent Tamashiro
• Sean Tamura
• Robert I Tanaka, D.C
• Nicole T Tanigawa, MT
• Tass Care LLC
• Bianca Tata, OT
• Sydney Y Tatsuno, MD
• Kimberley Anne Tatum-Moyer, WHNP IBCLC
• Tautua Care Transport

• Family Nurse Practitioner in Hilo, HI
• Providers in Hilo, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.