Tyler Joseph Alicks, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APN.0990909-NP Issued in CO

Practice address

1633 Fillmore St Ste GL1
Denver, CO 80206-1546

Phone

(303) 953-6600

Fax

(303) 781-4333

NPI assigned

Dec 13, 2007

Last updated

Feb 5, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1063695013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 FILLMORE ST STE GL1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061546",
            "telephone_number": "303-953-6600",
            "fax_number": "303-781-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 FILLMORE ST STE GL1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061546",
            "telephone_number": "303-953-6600",
            "fax_number": "303-781-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICKS",
        "first_name": "TYLER",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0990909-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3259",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LB-0000216",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID- TYPE UNSPECI",
            "identifier": "7124",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372048",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryam Ali
• Mohamed Ali
• Rania Gasim Balla Mohammed Ali Sr., MD
• Wajiha Ali
• Alice West-Goers, MSW, LCSW
• Alida Home Care, Inc.
• Alight Behavioral Therapy Co LLC
• Align Performance Acupuncture, LLC
• Aligned Life Journey
• Aligned Practices LLC

• Adult Health Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Adult Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.