Individual provider Active NPI

Brittany Pritchard Tyler, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Pooler, GA
National Provider Identifier
1376914705
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
121 Chinese Fir CT
Pooler, GA 31322-4038
Phone
(912) 247-0897
NPI assigned
Oct 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X GA Primary

Addresses

Primary practice location

121 Chinese Fir CT
Pooler, GA 31322-4038

Mailing address

2204 Clearview Ave
Fort Collins, CO 80521-4212
Phone (912) 247-0897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230719002055 GA Practitioner - Qualified Speech Language Pathologist 6103286356 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Clinic of the Coastal Empire LLC Speech-Language Pathologist CurrentSince Jul 19, 2023 Accepting new patients

Locations

138 Canal St
Ste 204
Pooler, GA 31322
Phone (912) 712-3999

315 Johnny Mercer Blvd
Ste D
Savannah, GA 31410
Phone (912) 712-3999

130 Stephenson Ave
Ste 102
Savannah, GA 31405
Phone (912) 712-2550

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.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1376914705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 CLEARVIEW AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805214212",
            "telephone_number": "912-247-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CHINESE FIR CT",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224038",
            "telephone_number": "912-247-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "BRITTANY",
        "middle_name": "PRITCHARD",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.