Tyler McGlynn

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

213700-7 Issued in MN

Practice address

117 2ND St NE
Fosston, MN 56542-1301

Phone

(218) 435-1044

Fax

(218) 435-1143

NPI assigned

Jun 13, 2017

Last updated

Jun 13, 2017By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bethany Home Health, Inc

  dba Bethany Assisted Living

  • Home Health Agency
  • Fosston, MN
  • NPI 1144769654
  NPD Authorized official
• Bethany Board and Lodge, Inc

  dba Sunrise Customized Living

  • Assisted Living Facility
  • Fosston, MN
  • NPI 1114497773
  Authorized official Same address or phone
• Bethany Board and Lodge, Inc

  dba Riverside Customized Living

  • Assisted Living Facility
  • McIntosh, MN
  • NPI 1669942298
  Authorized official Same address or phone
• Bethany Board and Lodge, Inc

  dba Bethany Assisted Living

  • Home Health Agency
  • Fosston, MN
  • NPI 1942756556
  NPD (past) Authorized official

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1215467139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44199 410TH AVE SE",
            "city": "LENGBY",
            "state": "MN",
            "postal_code": "566514030",
            "telephone_number": "218-280-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 2ND ST NE",
            "city": "FOSSTON",
            "state": "MN",
            "postal_code": "565421301",
            "telephone_number": "218-435-1044",
            "fax_number": "218-435-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLYNN",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "213700-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kay Lane, CRNA
• Ashlee M Lee, OTR/L, CHT
• Shyanne Loiland, DPT
• Marfa Ivanovna Mametieff
• Mitchell Dick Marquis, D.C.
• Midway Care Center Inc.
• Rita Marie Moen, LPCC
• Wesley O Ofstedal, MD
• Jodie M Osmonson, D.C
• Palubicki's Inc.

• Registered Nurse in Fosston, MN
• Providers in Fosston, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.