Active NPI
Tylira Deleon
- Licensed Practical Nurse
- Dover, DE
National Provider Identifier
1043933815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- L2-0013443
- Practice address
- 1206 Forrest Ave
Dover, DE 19904-3311 - Phone
- (877) 288-2789
- NPI assigned
- Sep 26, 2022
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L2-0013443 | DE | Primary |
Addresses
Primary practice location
1206 Forrest Ave
Dover, DE 19904-3311
Mailing address
109 Hillside Ave # 585
Frederica, DE 19946-4633
Phone (302) 943-7555
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2-0013443 | DE | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1043933815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 HILLSIDE AVE # 585",
"city": "FREDERICA",
"state": "DE",
"postal_code": "199464633",
"telephone_number": "302-943-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 FORREST AVE",
"city": "DOVER",
"state": "DE",
"postal_code": "199043311",
"telephone_number": "877-288-2789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEON",
"first_name": "TYLIRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "DE",
"license": "L2-0013443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
- Delaware Primary Care LLC
- Delaware Radiation Associates, PA
- Delaware Sleep Disorder Centers
- Delaware Sleep Disorder Centers, LLC
- Delaware Surgery Center, LLC
- Delmarva Emergency Physicians LLP
- Delmarva Orthotics and Prosthetics
- Delmarva Prosthodontics PA
- Delmarva Rural Ministries, Inc
- Delmarva Rural Ministries, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.