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LONNIE TANENBERG
NPI 1104213602
Specialist/Technologist - Athletic Trainer in San Anselmo, CA

Active since April 22, 2015
1516 SAN ANSELMO AVE, APT B, SAN ANSELMO, CA 94960(415) 685-4493 Get Directions Write a Review

NPPES record last updated: April 22, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lonnie Tanenberg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONNIE TANENBERG (NPI 1104213602) is an individual athletic trainer provider in San Anselmo, California and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1104213602
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameLONNIE TANENBERG
Location Address1516 SAN ANSELMO AVE, APT BSan Anselmo, CA 94960-1863
Mailing Address1516 San Anselmo Ave, Apt BSan Anselmo, CA 94960-1863 · (415) 685-4493
Phone(415) 685-4493
Sole ProprietorYes
Enumeration DateApril 22, 2015
✔ NPI 1104213602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1516 SAN ANSELMO AVE, San Anselmo, CA 94960
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lonnie Tanenberg's NPI number?

The NPI number for Lonnie Tanenberg is 1104213602. It was assigned to this individual provider in the NPPES registry on April 22, 2015.

Where is Lonnie Tanenberg located?

Lonnie Tanenberg practices at 1516 San Anselmo Ave Apt B, San Anselmo, CA 94960. The listed phone number is (415) 685-4493.

What is Lonnie Tanenberg's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Lonnie Tanenberg was last updated on April 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.