Tyler Kelleher, MSN, NI-BC

Primary specialty

Informatics Clinical Nurse SpecialistTaxonomy code 364SI0800X

License

393803 Issued in OH

Practice address

214 W Bowery St
Akron, OH 44308-1046

Phone

(330) 543-1000

NPI assigned

Nov 9, 2023

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

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1366216475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 WEXFORD CT",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443124635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W BOWERY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081046",
            "telephone_number": "330-543-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "TYLER",
        "credential": "MSN, NI-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SI0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Informatics",
            "state": "OH",
            "license": "393803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew James Keith, DC
• Joseph Spencer Keith, MD
• Brittney A Kelker, B.A.
• Janice Kelker
• Stephen Kellar
• Brooke Rayann Keller, DO
• Erica Lucia Keller, OD
• Gerri Lynn Keller, RD
• Marisa Keller
• Victoria L Kellerman, PSY.D.

• Clinical Nurse Specialist in Akron, OH
• Providers in Akron, OH by specialty
• Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.