Active NPI
Julie Anne Tyler, MIDWIFE
- Midwife
- Mount Vernon, NY
National Provider Identifier
1013242817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 001338
- Practice address
- 107 W 4TH St
Mount Vernon, NY 10550-4002 - Phone
- (914) 699-7200
- Fax
- (914) 699-0837
- NPI assigned
- Oct 12, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | F001338-1 | NY | |
| Midwife | 176B00000X | 001338 | NY | Primary |
Addresses
Primary practice location
107 W 4TH St
Mount Vernon, NY 10550-4002
Mailing address
107 W 4TH St
Mount Vernon, NY 10550-4002
Phone (914) 699-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03161626 | Medicaid | NY |
Other names 1
- Ms. Julie Anne O'Connor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F001338-1 | NY | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Vernon Neighborhood Health Center, Inc. | Current | Accepting new patients | |
| Mount Vernon Neighborhood Health Center Inc | Current | Accepting new patients | |
| Mount Vernon Neighborhood Health Center, Inc. | Past | Accepting new patients |
Locations
107 W 4th St
Mount Vernon, NY 10550
Phone (914) 699-0235
295 Knollwood Rd
White Plains, NY 10607
Phone (914) 699-7200
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71482
Organizations & group practices 3
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.
-
- Specialist
- Mount Vernon, NY
- NPI 1295912541
-
- Federally Qualified Health Center (FQHC)
- Yonkers, NY
- NPI 1952550055
-
- Federally Qualified Health Center (FQHC)
- Mount Vernon, NY
- NPI 1396736120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1013242817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 W 4TH ST",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105504002",
"telephone_number": "914-699-7200",
"fax_number": "914-699-0837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W 4TH ST",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105504002",
"telephone_number": "914-699-7200",
"fax_number": "914-699-0837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "JULIE",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "MIDWIFE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-12",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "F001338-1",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "001338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03161626",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "O'CONNOR",
"middle_name": "ANNE",
"prefix": "MS.",
"credential": "CM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.