Healthcare Provider Details

I. General information

NPI: 1770411621
Provider Name (Legal Business Name): TANYA ANN CARR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 CHAMBLISS AVE NW
CLEVELAND TN
37311-3847
US

IV. Provider business mailing address

940 TAPESTRY WAY APT 4310
KNOXVILLE TN
37932-3540
US

V. Phone/Fax

Practice location:
  • Phone: 423-559-6000
  • Fax:
Mailing address:
  • Phone: 865-712-8891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: