Active NPI
Ann Tyree, N.P., MSN
- Family Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1124241716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 299935
- Practice address
- 701 East 28TH Street
Suite 418
Long Beach, CA 90806-2657 - Phone
- (562) 997-4070
- Fax
- (562) 997-4090
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 299935 | CA | Primary |
Addresses
Primary practice location
701 East 28TH Street
Suite 418
Long Beach, CA 90806-2657
Mailing address
701 East 28TH Street
Suite 418
Long Beach, CA 90806-2657
Phone (562) 997-4070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299935 | Other | CA | RN LICENSE |
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
- Credentials
- Master of Science - Nursing, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1124241716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 EAST 28TH STREET",
"address_2": "SUITE 418",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062657",
"telephone_number": "562-997-4070",
"fax_number": "562-997-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 EAST 28TH STREET",
"address_2": "SUITE 418",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062657",
"telephone_number": "562-997-4070",
"fax_number": "562-997-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYREE",
"first_name": "ANN",
"credential": "N.P., MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "299935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "299935",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.