ETHAN TANNER - NPI 1861243677 - Peer Specialist in Layton, UT

Q: What is Ethan Tanner's NPI number?

The NPI number for Ethan Tanner is 1861243677. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Q: What is Ethan Tanner's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Tanner was last updated on May 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ethan Tanner NPPES

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

ETHAN TANNER (NPI 1861243677) is an individual peer specialist in Layton, Utah and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1861243677

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameETHAN TANNER

Location Address934 S MAIN STLayton, UT 84041-7135

Mailing Address934 S Main StLayton, UT 84041-7135 · (801) 773-7060

Phone(801) 336-1845

Sole ProprietorYes

Enumeration DateMarch 29, 2024

Last NPPES UpdateMay 6, 20252 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1861243677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

934 S MAIN ST, Layton, UT 84041

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Other Providers at the Same Location NPPES 20

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

TREVOR CRAIG SAVAGE

Technician, Other