Individual provider Active NPI

Ann Tyree, N.P., MSN

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1124241716
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
299935 Issued in CA
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

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
299935OtherCARN 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.

Verify at the official NPI Registry.