Brittany Denise Tyrrell

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

289812 Issued in CA

Practice address

350 E Gobbi St Ste B
Ukiah, CA 95482-5511

Phone

(707) 472-6453

Fax

(707) 472-0358

NPI assigned

Dec 1, 2021

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2021.

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1093473522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954821449",
            "telephone_number": "707-472-6453",
            "fax_number": "707-472-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E GOBBI ST STE B",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825511",
            "telephone_number": "707-472-6453",
            "fax_number": "707-472-0358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 Low Gap Rd",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954823736",
            "country_code": "US",
            "telephone_number": "707-463-4423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYRRELL",
        "first_name": "BRITTANY",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "289812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Truelsen, NP
• Erika Littlefawn Tsonetokoy Coyle
• Tiffany Francis Tucker
• Mary Turner
• Keenan P Tyner, LCSW
• Ukiah Adventist Hospital
• Ukiah Adventist Hospital
• Ukiah Adventist Hospital
• Ukiah Adventist Hospital
• Ukiah Adventist Hosptial

• All providers in Ukiah, CA
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.