Individual ProviderTanya HarteNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3009 N Ballas Rd Ste 102b, Saint Louis, MO 63131-2343(314) 996-4008(314) 448-3791PECOS EnrollmentBased on the most recent information from CMS, provider Tanya Harte is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1083270797Provider TypeIndividualFull NameHarte, TanyaCredentialNPGenderFemaleSole ProprietorNoEnumeration Date5/17/2019Last Updated6/26/2024Contact InformationPractice LocationPractice Address3009 N Ballas Rd Ste 102b, Saint Louis, MO 63131-2343Phone(314) 996-4008Fax(314) 996-5611Mailing LocationMailing Address660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512Phone(314) 448-3791Fax(314) 996-7658Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense2019009484MissouriCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense2019009484Missouri