Tyra Marie Seymour

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5018938 Issued in NC

Practice address

1218 Colton Creek Rd
Knightdale, NC 27545-6382

Phone

(413) 342-7004

NPI assigned

Aug 29, 2023

Sex

Female

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 NC

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triad Behavioral Resources PCGroup PAC ID 7911316435, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Treatment Management Services & Wellness PLLC

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1861373086
  Medicare reassignment Authorized official
• Triad Behavioral Resources PC

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1336292556
  Medicare reassignment Care Compare group
• DLP Wilson Physician Practices LLC

  • Family Medicine Physician
  • Wilson, NC
  • NPI 1932521010
  Medicare reassignment NPD
• Holly Hill Hospital LLC

  • Psychiatric Hospital
  • Raleigh, NC
  • NPI 1518037233

  Psychiatric/Mental Health

  Medicare reassignment NPD
• DLP Wilson Physician Practices LLC

  • Rural Health Clinic/Center
  • Wilson, NC
  • NPI 1992482079
  NPD

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1326823170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 COLTON CREEK RD",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456382",
            "telephone_number": "413-342-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 COLTON CREEK RD",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456382",
            "telephone_number": "413-342-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "TYRA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5018938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianella Seijas, PT
• Eric James Sepulveda, CSAC
• Serenity Home Care Inc
• Serenity Home Care, Inc
• Johnny Roy Sessoms III
• Sabriya Laila Sharif-Hanifa, MS, LCAS-A
• Shars Auspicious Care LLC
• Calli Shaver, PT
• John M Shepard, PA-C
• Danyel Sherman, MED, BCBA

• Psychiatric/Mental Health Nurse Practitioner in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.