Bonnilee Anne Tyrrell, OCCUPATIONAL THERAPY

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

809 Issued in NE

Practice address

7208 Van Dorn St
Lincoln, NE 68506-3651

Phone

(402) 499-7713

NPI assigned

Jan 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bonnie Tyrrell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1205226552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 NORTH 70TH STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051505",
            "telephone_number": "402-761-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 VAN DORN ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063651",
            "telephone_number": "402-499-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRRELL",
        "first_name": "BONNILEE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "OCCUPATIONAL THERAPY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "TYRRELL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel J Tylka
• Meghan Hungerford Tylka, D.D.S.
• Kristina Ann Tyndall, APRN
• Steve H Tyndall, MD
• Hayle Tyree
• Kathy Tyrrell
• Michelle Tyser, PA
• Vera Tyshkova
• Svetlana Tyshkun
• Tatyana Tyshkun

• Skilled Nursing Facility in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.