Tyler D Patten, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11058933-4405 Issued in UT

Practice address

1664 S Dixie Dr Ste E102
Saint George, UT 84770-7329

Phone

(435) 703-9647

Fax

(435) 703-6003

NPI assigned

Jun 19, 2024

Sex

Male

Sole proprietor

Yes

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.

• Alberto Souza, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint George, UT
  • NPI 1972141588

  NV, Psychiatric/Mental Health, UT

  Medicare reassignment Care Compare group NPD
• Atp Mental Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • St George, UT
  • NPI 1356280952

  Psychiatric/Mental Health

  NPD Authorized official
• Canyon Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Layton, UT
  • NPI 1649748559

  UT

  Medicare reassignment
• PPM Nevada LLC

  • Family Medicine Physician
  • Pahrump, NV
  • NPI 1760276646

  NV

  Medicare reassignment
• Talbert Medical Group

  • Health Maintenance Organization
  • Costa Mesa, CA
  • NPI 1497759005
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alberto Souza PLLC 9 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in UT, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2024.

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1386488971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 E 3380 S",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847906203",
            "telephone_number": "435-272-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 S DIXIE DR STE E102",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707329",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1789 N Wedgewood Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "Cedar City",
            "state": "UT",
            "postal_code": "847217769",
            "country_code": "US",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 Pinnacle Ct Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890273322",
            "country_code": "US",
            "telephone_number": "435-703-9647",
            "fax_number": "436-703-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "TYLER",
        "middle_name": "D",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "11058933-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways Counseling, LLC
• Richard Romero Patilano Jr., MD
• Michelle Patinella, MA, ACMHC
• Connor Patten
• Raymond Patten
• Autumn Patterson
• Riley Patterson
• William Patterson, PT
• Bekki T. Patton, D.D.S.
• John Edward Patton

• All providers in Saint George, UT
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.