Kelli Chari Tyler Hayes, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

688780 Issued in TX

Practice address

7008 Indiana Ave
Ste a
Lubbock, TX 79413-6114

Phone

(806) 698-8088

Fax

(806) 698-8588

NPI assigned

Feb 18, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kelli C Tyler Hayes Professional name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health and Human Services Commission

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692
  Medicare reassignment NPD
• Health and Human Services Commission

  • Intellectual Disabilities Intermediate Care Facility
  • San Antonio, TX
  • NPI 1093894859
  NPD
• Health and Human Services Commission

  • Psychiatric Hospital
  • Big Spring, TX
  • NPI 1881600682
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1003084567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 INDIANA AVE",
            "address_2": "STE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794136114",
            "telephone_number": "806-698-8088",
            "fax_number": "806-698-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 INDIANA AVE",
            "address_2": "STE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794136114",
            "telephone_number": "806-698-8088",
            "fax_number": "806-698-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER HAYES",
        "first_name": "KELLI",
        "middle_name": "CHARI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "688780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194657602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BSTX",
            "identifier": "00395N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "TYLER HAYES",
            "middle_name": "C",
            "credential": "NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Johnny Turner, PA
• Megan Turner, OT
• James Ferguson Tustin Jr., MD
• Nancy Lee Twining, LCDC
• Ashlyn Tyk, SLP- INTERN
• Brandy Tyler
• Debra Tyler, MD
• Kendra Attayva Tyler, LVN
• Marisha Tyler, LMFT
• Holly Jen Tyson, P.A.-C

• Family Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.