Active NPI
Faith A Tyler, FNP
- Family Nurse Practitioner
- Fayetteville, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 61829
- Practice address
- RR 3 Box 9
439 Elizabeth Way
Fayetteville, WV 25840-9505 - Phone
- (304) 574-2600
- Fax
- (304) 574-2951
- NPI assigned
- Mar 13, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 61829 | WV | Primary |
Addresses
Primary practice location
RR 3 Box 9
439 Elizabeth Way
Fayetteville, WV 25840-9505
Mailing address
RR 3 Box 9
439 Elizabeth Way
Fayetteville, WV 25840-9505
Phone (304) 574-2600
Other practice location 1
5447 Maple Ln Ste B
Fayetteville, WV 25840-6872
Phone (304) 658-9397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080513000102 | WV | Practitioner - Nurse Practitioner | 1052480357 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Cherokee Emergency Services, Inc. | Current | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
124 Brookshire Ln
Beckley, WV 25801
Phone (304) 252-8551
Interoperability endpoints
- ftyler@yourcarecommunity.org
Organizations & group practices 3
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": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1396916722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 3 BOX 9",
"address_2": "439 ELIZABETH WAY",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "258409505",
"telephone_number": "304-574-2600",
"fax_number": "304-574-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 3 BOX 9",
"address_2": "439 ELIZABETH WAY",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "258409505",
"telephone_number": "304-574-2600",
"fax_number": "304-574-2951"
}
],
"practiceLocations": [
{
"address_1": "5447 Maple Ln Ste B",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "WV",
"postal_code": "258406872",
"country_code": "US",
"telephone_number": "304-658-9397",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYLER",
"first_name": "FAITH",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-13",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "61829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.