Tyler Fountain

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

3065 N Rancho Dr Ste 114
Las Vegas, NV 89130-3355

Phone

(702) 628-9968

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1093629164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 N RANCHO DR STE 114",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 N RANCHO DR STE 114",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303355",
            "telephone_number": "702-628-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUNTAIN",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Fountain
• Chanica Lynna Fountain
• Clarissa Fountain
• Damian Stefan Fountain, MD
• Leola Fountain
• Gabriella Fountas
• Zetkha Fountas
• Four Seasons Dental Spa (Cosmetic Dental Center of Las Vegas)
• Trisha Fournier, OD
• Carolyn Latonya Fourston

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.