Tyler Blake Sandlin, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A005300 Issued in AR

Practice address

1700 Harrison St
Suite N
Batesville, AR 72501

Phone

(870) 262-2200

NPI assigned

Aug 7, 2017

Last updated

Jul 21, 2022By 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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyler.sandlin.1@13831.direct.athenahealth.com

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.

• White River Health System Inc

  dba Cave City Medical Clinic

  • Rural Health Clinic/Center
  • Cave City, AR
  • NPI 1568442127
  Medicare reassignment NPD
• White River Health System, Inc.

  dba White River Health Children's Clinic

  • Rural Health Clinic/Center
  • Batesville, AR
  • NPI 1134298268
  Medicare reassignment NPD
• White River Health System, Inc.

  dba White River Health Family Care

  • Rural Health Clinic/Center
  • Mountain View, AR
  • NPI 1457396616
  Medicare reassignment NPD
• White River Health System, Inc.

  dba Midway Medical Clinic

  • Rural Health Clinic/Center
  • Cherokee Village, AR
  • NPI 1568432144
  Medicare reassignment NPD
• White River Health System, Inc.

  dba WRMC Anesthesia Group

  • Certified Registered Nurse Anesthetist
  • Batesville, AR
  • NPI 1083962286
  NPD
• White River Health System, Inc.

  dba White River Health Family Care

  • Rural Health Clinic/Center
  • Batesville, AR
  • NPI 1104275486
  NPD
• White River Health System, Inc.

  dba Newark Medical Clinic

  • Rural Health Clinic/Center
  • Newark, AR
  • NPI 1467519249
  NPD
• White River Health System, Inc.

  dba Melbourne Medical Clinic

  • Rural Health Clinic/Center
  • Melbourne, AR
  • NPI 1477523348
  NPD
• White River Health System, Inc.

  dba White River Medical Group

  • Family Medicine Physician
  • Batesville, AR
  • NPI 1881050334
  NPD
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285159780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HARRISON ST STE N",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017315",
            "telephone_number": "870-262-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HARRISON ST",
            "address_2": "SUITE N",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "72501",
            "telephone_number": "870-262-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLIN",
        "first_name": "TYLER",
        "middle_name": "BLAKE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haziqa Salman, MD
• Sean Anro Navarro Salonga, MD
• Erin Sandefur, APRN
• Freda Sanders
• Jeremiah Seth Sanders, ATC/LAT
• Krysta Sansource
• Maruf Sarwar, MD
• Shawna Satterwhite, CSS
• Sav-on Pharmacy
• Sav-on Pharmacy, LLC.

• Nurse Practitioner in Batesville, AR
• Providers in Batesville, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.