Active NPI
Keiry N Tyrell, AG-CPCNP
- Adult Health Nurse Practitioner
- Nashville, TN
National Provider Identifier
1033608526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 95008307
- Practice address
- 3601 The Vanderbilt Clinic
Nashville, TN 37232-1403 - Phone
- (615) 936-2000
- NPI assigned
- May 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95008307 | CA | Primary |
Addresses
Primary practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-1403
Mailing address
719 Thompson LN Ste 30330
Nashville, TN 37204-4701
Other practice location 1
679 Camillo Rd
Sierra Madre, CA 91024-1403
Phone (626) 841-0880
Other names 1
- Keiry Montoya
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ktyrell584004@direct.vumc.org | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95008307 | CA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1033608526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 THOMPSON LN STE 30330",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372044701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 THE VANDERBILT CLINIC",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372321403",
"telephone_number": "615-936-2000"
}
],
"practiceLocations": [
{
"address_1": "679 Camillo Rd",
"address_purpose": "LOCATION",
"city": "Sierra Madre",
"state": "CA",
"postal_code": "910241403",
"country_code": "US",
"telephone_number": "626-841-0880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYRELL",
"first_name": "KEIRY",
"middle_name": "N",
"credential": "AG-CPCNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-09",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95008307",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ktyrell584004@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "3601 The Vanderbilt Clinic",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372321403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KEIRY",
"last_name": "MONTOYA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.