Active NPI
Tyra Dean-Ousley, EDD, APN, FNP-BC
- Family Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277002442
- Practice address
- 235 E Princeton St Ste 200
Orlando, FL 32804-5555 - Phone
- (407) 303-1444
- Fax
- (407) 303-1446
- NPI assigned
- May 2, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11023314 | FL | |
| Family Nurse Practitioner | 363LF0000X | 209015881 | IL | |
| Family Nurse Practitioner | 363LF0000X | 277002442 | IL | Primary |
Addresses
Primary practice location
235 E Princeton St Ste 200
Orlando, FL 32804-5555
Mailing address
11228 S Emerald Ave
Chicago, IL 60628-4707
Phone (773) 425-9946
Other practice location 1
11228 S Emerald Ave
Chicago, IL 60628-4707
Phone (773) 821-7155
Other practice location 2
1276 N Clybourn Ave
Chicago, IL 60610-2003
Phone (312) 337-1073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11023314 | FL | MD | Family Nurse Practitioner |
| 209015881 | IL | MD | Family Nurse Practitioner |
| 277002442 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Behavior Health Services | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Millennium Behavior Health Services | Family | Current | Accepting new patients |
| Fitness Clinic Wellness | Family | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Saint Francis Medical Center | Past | Accepting new patients | |
| Chicago State University | Past | Accepting new patients |
Locations
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
20303 Crawford Ave
Ste 230
Olympia Flds, IL 60461
Phone (708) 679-1000
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Methadone Clinic
- Chicago, IL
- NPI 1316780703
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1780450643
Family
-
- Clinic/Center
- Chicago, IL
- NPI 1861928509
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1073049722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11228 S EMERALD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606284707",
"telephone_number": "773-425-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 E PRINCETON ST STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328045555",
"telephone_number": "407-303-1444",
"fax_number": "407-303-1446"
}
],
"practiceLocations": [
{
"address_1": "11228 S Emerald Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606284707",
"country_code": "US",
"telephone_number": "773-821-7155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1276 N Clybourn Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606102003",
"country_code": "US",
"telephone_number": "312-337-1073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEAN-OUSLEY",
"first_name": "TYRA",
"credential": "EDD, APN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-02",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11023314",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209015881",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277002442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.