Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Donald Edwin Tanner, FNP-C

Individual provider Family Nurse Practitioner · NPI 1417738717

Donald Edwin Tanner, FNP-C is a Nurse Practitioner in Lees Summit, Missouri. Qualified in 2023, 3 years ago. Practices with Camai Community Health Center Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2023
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1120 NE Banner Dr
Lees Summit, MO 64086-6715
Phone: (816) 207-9099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2023041401 (MO)

Record details

NPI number1417738717
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedOctober 12, 2023
Last updated in NPPESOctober 12, 2023
Certification dateOctober 4, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Camai Community Health Center Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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