Active NPI
Tyler Schuster
- Athletic Trainer
- Beaverton, OR
National Provider Identifier
1386185064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 10172058
- Practice address
- 9925 SW Nimbus Ave
Beaverton, OR 97008-7591 - Phone
- (503) 535-8302
- NPI assigned
- Mar 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 10172058 | OR | Primary |
Addresses
Primary practice location
9925 SW Nimbus Ave
Beaverton, OR 97008-7591
Mailing address
6125 N Omaha Ave
Portland, OR 97217-4267
Phone (561) 951-4636
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10172058 | OR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1386185064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6125 N OMAHA AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972174267",
"telephone_number": "561-951-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9925 SW NIMBUS AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087591",
"telephone_number": "503-535-8302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUSTER",
"first_name": "TYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-15",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OR",
"license": "10172058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.