Tyron Wentworth, R.N.

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

4704196552 Issued in MI

Practice address

200 Orleans Blvd
Coldwater, MI 49036-1767

Phone

(517) 278-2129

Fax

(517) 279-8172

NPI assigned

Jun 23, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1003127150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ORLEANS BLVD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361767",
            "telephone_number": "517-278-2129",
            "fax_number": "517-279-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ORLEANS BLVD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361767",
            "telephone_number": "517-278-2129",
            "fax_number": "517-279-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTWORTH",
        "first_name": "TYRON",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704196552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny A. Weaver
• Tony Weaver
• Jeannie Marie Weber, MSW, CSW
• Margaret A Weigle, RD
• Sherri Lynn Welch, LCSW, LMSW, ACSW
• Gary F Werkman, D.D.S.
• Ashley West
• Howard S Wharton, MD
• Baron Victor Whateley, DDS, MS
• Samantha Lorine Wheeler, PH.D., LCSW

• Psychiatric/Mental Health Registered Nurse in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Psychiatric/Mental Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.