Individual provider Active NPI

Kimberly Lynn Tyler, FNP

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1013980432
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN1100595 Issued in FL
Practice address
2415 University Pkwy Ste 218
Sarasota, FL 34243-2809
Phone
(941) 955-6220
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 93678 FL
Family Nurse Practitioner 363LF0000X APRN11000595 FL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X F331853 NY
Family Nurse Practitioner 363LF0000X APRN1100595 FL Primary

Addresses

Primary practice location

2415 University Pkwy Ste 218
Sarasota, FL 34243-2809

Mailing address

2415 University Pkwy Ste 218
Sarasota, FL 34243-2809
Phone (941) 955-6220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151222001439 NV Practitioner - Nurse Practitioner 4385775899 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
93678FLMDFamily Medicine Physician
APRN11000595FLMDFamily Nurse Practitioner
APRN1100595FLMDFamily Nurse Practitioner
F331853NYMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians to Home LLC CurrentSince Oct 1, 2016 Accepting new patients
Rochester General Hospital Past Accepting new patients
Medinix Medical Services Singh PLLC Family Medicine PastSince Mar 29, 2023 Accepting new patients

Locations

2900 W Horizon Ridge Pkwy
Ste 121
Henderson, NV 89052
Phone (702) 281-1267

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1013980432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY PKWY STE 218",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432809",
            "telephone_number": "941-955-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY PKWY STE 218",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432809",
            "telephone_number": "941-955-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "93678",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000595",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "F331853",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN1100595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.