Active NPI
Elizabeth Ann Tyree, RN, PNP
- Medical Physician Assistant
- Grand Forks, ND
National Provider Identifier
1306836937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- R24430
- Practice address
- 5TH Avenue North and Harvard Streets
Grand Forks, ND 58202 - Phone
- (701) 777-4522
- Fax
- (701) 777-4096
- NPI assigned
- Oct 25, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | R24430 | ND | Primary |
Addresses
Primary practice location
5TH Avenue North and Harvard Streets
Grand Forks, ND 58202
Mailing address
710 N 25TH St
Grand Forks, ND 58203-2945
Phone (701) 746-7802
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R24430 | ND | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306836937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N 25TH ST",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582032945",
"telephone_number": "701-746-7802",
"fax_number": "701-777-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5TH AVENUE NORTH AND HARVARD STREETS",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58202",
"telephone_number": "701-777-4522",
"fax_number": "701-777-4096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYREE",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN, PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ND",
"license": "R24430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.