Organization Active NPI

Tyler Hunt Pmhnp-BC LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Keizer, OR
National Provider Identifier
1013709054
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TYLER HUNT PMHNP-BC LLC
Practice address
3787 River Rd N Ste a
Keizer, OR 97303-4899
Phone
(865) 804-1217
NPI assigned
May 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Authorized official

Name
Tyler Hunt, PMHNPNPI 1114762432
Title
Owner/Ceo
Phone
(865) 804-1217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3787 River Rd N Ste a
Keizer, OR 97303-4899

Mailing address

2328 Portland Dr
Maryville, TN 37803-8306
Phone (865) 804-1217

Other identifiers 1

IdentifierTypeStateIssuer
500845613MedicaidOR

National Provider Directory

National Provider Directory

Locations

3787 River Rd N
Ste A
Keizer, OR 97303
Phone (503) 763-1778

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747440000000",
    "number": "1013709054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 PORTLAND DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378038306",
            "telephone_number": "865-804-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3787 RIVER RD N STE A",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034899",
            "telephone_number": "865-804-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER HUNT PMHNP-BC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-17",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "865-804-1217",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500845613",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; 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.