KATHRYN TANIS CNP
NPI 1720031453
Nurse Practitioner - Women's Health in Albuquerque, NM

Active since May 17, 2006
883 LEAD AVE SE, STE A, ALBUQUERQUE, NM 87102(505) 247-8820(505) 246-9421 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathryn Tanis Cnp NPPES

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

KATHRYN TANIS CNP (NPI 1720031453) is an individual women's health provider in Albuquerque, New Mexico, licensed in New Mexico (CNP00550) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1720031453
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKATHRYN TANISCredential: CNP
Location Address883 LEAD AVE SE, STE AAlbuquerque, NM 87102-3644
Mailing Address9512 Allande Rd NeAlbuquerque, NM 87109-6618 · (505) 299-2148 · Fax (505) 299-2148
Fax(505) 246-9421
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateSeptember 23, 2014
NPI 1720031453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in NM · CNP00550
883 LEAD AVE SE, Albuquerque, NM 87102

Other Identifiers 3

Medicare UPINQ04149NM
Medicaid51452715NM
Medicare PIN344405602NM

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
883 LEAD AVE SE
ALBUQUERQUE, NM 87102
Physician Assistant (Medical)
883 LEAD AVE SE, STE A
ALBUQUERQUE, NM 87102
Nurse Practitioner (Obstetrics & Gynecology)
883 LEAD AVE SE, STE A
ALBUQUERQUE, NM 87102
Obstetrics & Gynecology (Gynecology)
883 LEAD AVE SE, STE A
ALBUQUERQUE, NM 87102
Obstetrics & Gynecology (Gynecology)
883 LEAD AVE SE, STE A
ALBUQUERQUE, NM 87102

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 Kathryn Tanis's NPI number?

The NPI number for Kathryn Tanis is 1720031453. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Kathryn Tanis located?

Kathryn Tanis practices at 883 Lead Ave SE Ste A, Albuquerque, NM 87102. The listed phone number is (505) 247-8820.

What is Kathryn Tanis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Kathryn Tanis was last updated on September 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.