Active NPI
Michelle Tyler, CASE MANAGER
- Case Manager/Care Coordinator
- Portland, OR
National Provider Identifier
1386312700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3655 NE Garfield Ave
Portland, OR 97212-2094 - Phone
- (503) 528-2140
- Fax
- (503) 335-8125
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3655 NE Garfield Ave
Portland, OR 97212-2094
Mailing address
3655 NE Garfield Ave
Portland, OR 97212-2094
Phone (503) 528-2140
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelle.tyler@lifeworksnw.org | ||
| Direct Messaging Address | michelle.tyler@lifeworksnw.org |
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": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1386312700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 NE GARFIELD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972122094",
"telephone_number": "503-528-2140",
"fax_number": "503-335-8125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 NE GARFIELD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972122094",
"telephone_number": "503-528-2140",
"fax_number": "503-335-8125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "CASE MANAGER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle.tyler@lifeworksnw.org",
"affiliation": "N",
"endpointDescription": "secure email address",
"address_1": "3655 NE Garfield Ave",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972122094",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle.tyler@lifeworksnw.org",
"affiliation": "N",
"endpointDescription": "secure email system",
"address_1": "3655 NE Garfield Ave",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972122094",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.