Tracy Marie Tetrault Tanner, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

040065-23 Issued in NH

Practice address

188 NH 101
Bedford, NH 03110-5451

Phone

(603) 663-8052

NPI assigned

Nov 1, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1992305585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CHAUNCEY AVE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031041506",
            "telephone_number": "603-315-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 NH 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105451",
            "telephone_number": "603-663-8052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 Chauncey Ave",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031041506",
            "country_code": "US",
            "telephone_number": "603-315-0159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TETRAULT TANNER",
        "first_name": "TRACY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NH",
            "license": "04006521",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "040065-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Taylor
• Madison Taylor
• Teamg.Io Inc
• Suzanne J Terry, ARNP
• Amanda Testa, PHARMD
• The Delphi Group, LLC
• The Dna Group Inc
• Theracare, LLC
• Therapy Designed for You, LLC
• Adrian Jefferson Thomas, M.D.

• Family Nurse Practitioner in Bedford, NH
• Providers in Bedford, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.