MR. KEITH JOHN TANNER
NPI 1295411064
Counselor - Addiction (Substance Use Disorder) in Rockaway Beach, NY

Q: What is Keith Tanner's NPI number?

The NPI number for Keith Tanner is 1295411064. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Q: What is Keith Tanner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Keith Tanner was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 26, 2023

88-02 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11691(718) 327-7002 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Keith John Tanner NPPES

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

MR. KEITH JOHN TANNER (NPI 1295411064) is an individual addiction (substance use disorder) provider in Rockaway Beach, New York, licensed in New York (38720) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1295411064

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. KEITH JOHN TANNER

Location Address88-02 ROCKAWAY BEACH BLVDRockaway Beach, NY 11691

Mailing Address88-02 Rockaway Beach BlvdRockaway Beach, NY 11691 · (718) 327-7002

Phone(718) 327-7002

Sole ProprietorYes

Enumeration DateJune 26, 2023

NPPES CertifiedJune 26, 2023

✔ NPI 1295411064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NY · 38720

88-02 ROCKAWAY BEACH BLVD, Rockaway Beach, NY 11691

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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 Keith Tanner's NPI number?

The NPI number for Keith Tanner is 1295411064. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Keith Tanner located?

Keith Tanner practices at 88-02 Rockaway Beach Blvd, Rockaway Beach, NY 11691. The listed phone number is (718) 327-7002.

What is Keith Tanner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Keith Tanner was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.