Look up the most recent NPI and PECOS records

Tanya Archer

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

501 19th St Ste 509, Knoxville, TN 37916-1874

PECOS Enrollment

Based on the most recent information from CMS, provider Tanya Archer is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1043080328
Provider Type
Individual
Full Name
Archer, Tanya
Credential
FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
1/8/2024
Last Updated
1/8/2024

Contact Information

Practice Location

501 19th St Ste 509, Knoxville, TN 37916-1874

(865) 524-3208

Unlisted Fax

Mailing Location

501 19th St Ste 509, Knoxville, TN 37916-1874

(865) 524-3208

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 35439 Tennessee

Tanya Archer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wall, Rachal

Farmer, Franklin Ryan

Brumbach, Jennifer L

Weaver, Lisa Frances

Whisenant, Cynthia

Gayle, Kristen Osterman

Art, Olivia Caroline

Setser, Jennifer Kathleen

Heidel, Wendy D

Hairell, Ryan Keith