Individual provider Active NPI

Tyler Dean Stone, RN, MICN

  • Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1063331668
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95147200 Issued in CA
Practice address
1367 N Alta Vista Blvd Apt 204
Los Angeles, CA 90046-4594
Phone
(989) 430-3412
NPI assigned
Jul 15, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 95147200 CA Primary

Addresses

Primary practice location

1367 N Alta Vista Blvd Apt 204
Los Angeles, CA 90046-4594

Mailing address

1367 N Alta Vista Blvd Apt 204
Los Angeles, CA 90046-4594
Phone (989) 430-3412

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

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1063331668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 N ALTA VISTA BLVD APT 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464594",
            "telephone_number": "989-430-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 N ALTA VISTA BLVD APT 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464594",
            "telephone_number": "989-430-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "TYLER",
        "middle_name": "DEAN",
        "credential": "RN, MICN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95147200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.