Individual provider Active NPI

Debora Lynn Tyler, NP

  • Family Nurse Practitioner
  • Morgan Hill, CA
National Provider Identifier
1316035611
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15638 Issued in CA
Practice address
440 Diana Ave
Morgan Hill, CA 95037-4406
Phone
(408) 782-0376
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15638 CA Primary

Addresses

Primary practice location

440 Diana Ave
Morgan Hill, CA 95037-4406

Mailing address

440 Diana Ave
Morgan Hill, CA 95037-4406
Phone (408) 782-0376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1771 Northcrest Dr
Crescent City, CA 95531-8922

Hospital & facility affiliations

  • Sutter Coast Home Care Home health agency, Crescent City, CA, CCN 057427
  • Sutter Coast Hospital Hospital, Crescent City, CA, CCN 050417

Merit-based Incentive Payment System (MIPS)

Final score
24.58 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent City Internal Medicine PastSince Sep 1, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: debora.tyler@ccim.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CABIAD

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316035611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 DIANA AVE",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374406",
            "telephone_number": "408-782-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 DIANA AVE",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374406",
            "telephone_number": "408-782-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "DEBORA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "15638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

Verify at the official NPI Registry.