Active NPI
Tyanna Hill
- Behavior Technician
- Woodbury, MN
National Provider Identifier
1376134163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 731 Bielenberg Dr
Woodbury, MN 55125-1700 - Phone
- (612) 445-8324
- NPI assigned
- Feb 3, 2021
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
731 Bielenberg Dr
Woodbury, MN 55125-1700
Mailing address
731 Bielenberg Dr
Woodbury, MN 55125-1700
Phone (612) 445-8324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588993091 | Medicaid | MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | hrhelp@caravelautism.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1376134163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 BIELENBERG DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251700",
"telephone_number": "612-445-8324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 BIELENBERG DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251700",
"telephone_number": "612-445-8324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "TYANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1588993091",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "hrhelp@caravelautism.com",
"affiliation": "N",
"address_1": "731 Bielenberg Dr",
"city": "Woodbury",
"state": "MN",
"country_code": "US",
"postal_code": "551251700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.