Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn Tanner

Individual provider Registered Nurse · NPI 1275949497

Kathryn Tanner is a Nurse Practitioner in Bronx, New York. Graduated from University of Missouri, Columbia School of Medicine in 2015, 11 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
11
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
NY
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1894 Walton Ave
Bronx, NY 10453-6018
Phone: (718) 583-3060
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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 339462 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 671939 (NY)

Record details

NPI number1275949497
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 8, 2014
Last updated in NPPESDecember 22, 2016
Mailing address1894 Walton Ave, Bronx, NY 10453-6018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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