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Deactivated NPI 1649918566 Deactivated / Inactive NPI Male Practitioner

Tanner Vaughn Buie , MAT, LAT, ATC

Specialist/Technologist - Athletic Trainer • Tyler, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tanner Buie has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 20, 2022
NPI Deactivation Date June 06, 2024
Total Practice Duration ~2 Years of Practice (2022 – 2024)

Professional Overview & Biography Verified Profile Summary

Tanner Buie, MAT, LAT, ATC was a registered Specialist/Technologist - Athletic Trainer practicing in Tyler, TX. Throughout an active medical career spanning 2 years, Tanner Buie provided care at the practice location at 800 E DAWSON ST until profile deactivation on 2024-06-06.

Practice Location & Contact Primary Location

Practice Address

800 E Dawson St

Tyler, TX 757012036

Telephone 9035938441
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Tyler, TX (3033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-27
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License TX AT9735

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kirby Kile , CRNA

Anesthesiology

NPI 1003524869

Certified Registered Nurse Anesthetist

Blake Long , RN

Registered Nurse - Registered Nurse First Assistant

NPI 1003730771

Registered Nurse

Leah Dillman , AGACNP-BC

Nurse Practitioner

NPI 1033847967

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Jason Anderson , DO

Emergency Medicine

NPI 1043604358

Doctor of Osteopathic Medicine (D.O.)

Lacey Morris , FNP-C

Nurse Practitioner

NPI 1043732266

Family Nurse Practitioner (Certified)

NPI 1053195982

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location June 27, 2024

Registered at 800 E DAWSON ST, TYLER, TX 757012036 (Tel: 9035938441)

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Updated Business Mailing Address June 27, 2024

Registered at 562 CENTENNIAL PKWY APT 701, TYLER, TX 757037182 (Tel: 6604123879)

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Provider Name / Credentials Updated June 27, 2024

Recorded as TANNER BUIE, MAT, LAT, ATC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2024

Specialist/Technologist (License #AT9735 in TX)

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NPI Profile Deactivated June 06, 2024

Record deactivated on June 06, 2024

NPI Profile Active May 21, 2022

NPI status registered as active in NPPES database

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Updated Practice Location May 21, 2022

Registered at 901 S NATIONAL AVE # PROF160, SPRINGFIELD, MO 658970027 (Tel: 4178368553)

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Updated Business Mailing Address May 21, 2022

Registered at 17099 IOWAS RD, BRUNSWICK, MO 652362363 (Tel: 6604123879)

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Provider Name / Credentials Updated May 21, 2022

Recorded as TANNER BUIE

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2022

Specialist/Technologist

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Initial NPI Registration & Enumeration May 20, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649918566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2022
Last Update: June 27, 2024
Deactivation Date: June 06, 2024
Sole Proprietor: Yes

Mailing Address

562 Centennial Pkwy Apt 701

Tyler, TX 757037182

Phone: 6604123879

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.