Tyjuan Vidal Tyler Jr.

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

2881 S Valley View Blvd
Las Vegas, NV 89102-0100

Phone

(702) 253-9474

NPI assigned

Dec 18, 2018

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

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1003388877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HOLLAND AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 S VALLEY VIEW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020100",
            "telephone_number": "702-253-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "TYJUAN",
        "middle_name": "VIDAL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monquita Tyler
• Robert Tyler
• Ryan Tyler
• Stacy Michelle Tyler
• Teresa Tyler
• Tyrance Tyler
• Tyrone Lamont Tyler II
• Linda Marie Tylka, FNP
• Tyma Ventures, Inc.
• Jolain Tyndall, OT

• Attendant Care Provider in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Attendant Care Provider in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.