Active NPI
Tyler Ann Zybura, RN, BSN
- Registered Nurse
- Poway, CA
National Provider Identifier
1003636747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95321478
- Practice address
- 12700 Stowe Dr Ste 110
Poway, CA 92064-8875 - Phone
- (619) 573-0607
- Fax
- (760) 896-6883
- NPI assigned
- Oct 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95321478 | CA | Primary |
Addresses
Primary practice location
12700 Stowe Dr Ste 110
Poway, CA 92064-8875
Mailing address
12700 Stowe Dr Ste 110
Poway, CA 92064-8875
Phone (619) 573-0607
Other practice location 1
1404 Ash St
Ramona, CA 92065-1316
Phone (619) 573-0607
Other practice location 2
2915 Duck Pond Ln
Ramona, CA 92065-3666
Phone (619) 573-0607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95321478 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1003636747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12700 STOWE DR STE 110",
"city": "POWAY",
"state": "CA",
"postal_code": "920648875",
"telephone_number": "619-573-0607",
"fax_number": "760-896-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 STOWE DR STE 110",
"city": "POWAY",
"state": "CA",
"postal_code": "920648875",
"telephone_number": "619-573-0607",
"fax_number": "760-896-6883"
}
],
"practiceLocations": [
{
"address_1": "1404 Ash St",
"address_purpose": "LOCATION",
"city": "Ramona",
"state": "CA",
"postal_code": "920651316",
"country_code": "US",
"telephone_number": "619-573-0607",
"fax_number": "760-896-6883",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2915 Duck Pond Ln",
"address_purpose": "LOCATION",
"city": "Ramona",
"state": "CA",
"postal_code": "920653666",
"country_code": "US",
"telephone_number": "619-573-0607",
"fax_number": "760-896-6883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZYBURA",
"first_name": "TYLER",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95321478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.