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MR. TANNER JACKSON LAZARUS
NPI 1225867351
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since July 29, 2024PECOS Enrolled
314 S UNIVERSITY AVE APT 1212, LITTLE ROCK, AR 72205(870) 688-3337 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Tanner Jackson Lazarus NPPES

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

MR. TANNER JACKSON LAZARUS (NPI 1225867351) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225867351
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. TANNER JACKSON LAZARUS
Location Address314 S UNIVERSITY AVE APT 1212Little Rock, AR 72205-5257
Mailing Address314 S University Ave Apt 1212Little Rock, AR 72205-5257 · (870) 688-3337
Phone(870) 688-3337
Sole ProprietorYes
Enumeration DateJuly 29, 2024
NPPES CertifiedJuly 29, 2024
✔ NPI 1225867351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
314 S UNIVERSITY AVE APT 1212, Little Rock, AR 72205
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Tanner Jackson Lazarus is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Tanner Lazarus's NPI number?

The NPI number for Tanner Lazarus is 1225867351. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Tanner Lazarus located?

Tanner Lazarus practices at 314 S University Ave Apt 1212, Little Rock, AR 72205. The listed phone number is (870) 688-3337.

What is Tanner Lazarus's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tanner Lazarus enrolled in Medicare?

Yes. Tanner Lazarus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tanner Lazarus was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.