Active NPI
Leslie Tyler Myers, RN BSN
- School Registered Nurse
- Bear, DE
National Provider Identifier
1194169276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- L1-0039113
- Practice address
- 925 Bear Corbitt Rd
Bear, DE 19701-1323 - Phone
- (302) 454-2174
- Fax
- (302) 454-3487
- NPI assigned
- Apr 19, 2013
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | L1-0039113 | DE | Primary |
Addresses
Primary practice location
925 Bear Corbitt Rd
Bear, DE 19701-1323
Mailing address
1666 W Matisse Dr
Middletown, DE 19709-9835
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0039113 | DE | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Delaware | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1194169276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1666 W MATISSE DR",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197099835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 BEAR CORBITT RD",
"city": "BEAR",
"state": "DE",
"postal_code": "197011323",
"telephone_number": "302-454-2174",
"fax_number": "302-454-3487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "LESLIE",
"middle_name": "TYLER",
"credential": "RN BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-19",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "DE",
"license": "L1-0039113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.