Shylee Bautista Tiamson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95003772 Issued in CA

Practice address

100 N Barranca St # 900-J
West Covina, CA 91791-1637

Phone

(310) 292-0117

NPI assigned

Feb 2, 2016

Last updated

Jun 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Home Care MD Medical GroupGroup PAC ID 8921437088, 15 clinicians

Advanced Practitioner Medical Group - a Professional Nursing CorpGroup PAC ID 4082019401, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stiamson504115@direct.memorialcare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Practitioner Medical Group - a Professional Nursing Corp

  dba Advanced Practitioner Medical Group

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1861069957
  Medicare reassignment Care Compare group NPD Authorized official
• Home Care MD Medical Group

  • Primary Care Nurse Practitioner
  • West Covina, CA
  • NPI 1023644556

  Family

  Medicare reassignment Care Compare group NPD Authorized official
• Tiamson Inc

  dba Shylee Skin Wellness and Family Practice

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1124745161
  Medicare reassignment NPD Authorized official
• Global Integrated Medical Group, Inc.

  • Primary Care Nurse Practitioner
  • West Covina, CA
  • NPI 1578019485
  Medicare reassignment NPD
• Harbor Comprehensive Health Inc

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  • Wilmington, CA
  • NPI 1093000606
  Medicare reassignment NPD
• Intel Medical Group Inc

  • Primary Care Nurse Practitioner
  • Woodland Hills, CA
  • NPI 1407368236
  Medicare reassignment NPD
• Memorialcare Medical Foundation

  • Clinic/Center
  • Fountain Valley, CA
  • NPI 1205167350
  Medicare reassignment NPD
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  • NPI 1144090770
  NPD (past) Authorized official
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  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1043266760
  NPD (past)
• California Mobile Medical Group Inc

  dba The Mobile DRS

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1588439061
  NPD (past)

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1053779322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BARRANCA ST # 900-J",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911637",
            "telephone_number": "310-292-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BARRANCA ST # 900-J",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911637",
            "telephone_number": "310-292-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W 5th St Apt 818",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907313398",
            "country_code": "US",
            "telephone_number": "310-292-0117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14130 Crescenta Way",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917392122",
            "country_code": "US",
            "telephone_number": "310-292-0117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIAMSON",
        "first_name": "SHYLEE",
        "middle_name": "BAUTISTA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in West Covina, CA
• Providers in West Covina, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.