Jacob Tanner, MS, ATC, LAT
NPI 1871016105 · Athletic Trainer · Creve Coeur, MO
Jacob Tanner, MS, ATC, LAT is a Athletic Trainer provider in Creve Coeur, MO (NPI 1871016105).
Provider details
- NPI number
- 1871016105
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC, LAT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2015026272 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-07-19
- Last updated
- 2017-08-03
Frequently asked questions
- What is Jacob Tanner's NPI number?
- Jacob Tanner's National Provider Identifier (NPI) is 1871016105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Tanner's specialty?
- Jacob Tanner is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jacob Tanner located?
- Jacob Tanner's practice location on file with NPPES is 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141.
- What is Jacob Tanner's phone number?
- The practice phone number listed in the NPPES registry for Jacob Tanner is (314) 803-7792.
- Is Jacob Tanner's NPI active?
- Yes — Jacob Tanner's NPI (1871016105) is active in the NPPES registry as of the last update on 2017-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.