Active NPI
Tyra Pomazal
- Specialist
- Provo, UT
National Provider Identifier
1417253709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 659 N 700 E
Provo, UT 84606-6921 - Phone
- (530) 526-3935
- NPI assigned
- Feb 3, 2011
- Last updated
- Feb 3, 2011
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
659 N 700 E
Provo, UT 84606-6921
Mailing address
659 N 700 E
Provo, UT 84606-6921
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": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1417253709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 N 700 E",
"city": "PROVO",
"state": "UT",
"postal_code": "846066921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 N 700 E",
"city": "PROVO",
"state": "UT",
"postal_code": "846066921",
"telephone_number": "530-526-3935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMAZAL",
"first_name": "TYRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-03",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.