Tyreke Poole, RN, SNP

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

26NR18600700 Issued in NJ

Practice address

4494 Palmer Rd N
Bethesda, MD 20814

Phone

(301) 295-4830

NPI assigned

Sep 24, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1417774100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19420 RIDGECREST DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 PALMER RD N",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "301-295-4830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 W Lombard St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011512",
            "country_code": "US",
            "telephone_number": "410-706-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLE",
        "first_name": "TYREKE",
        "name_prefix": "Mr.",
        "credential": "RN, SNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NJ",
            "license": "26NR18600700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Christopher Pomerantz, M.D.
• Heather Scheibe Pomerantz, M.D.
• Justin Jaudon Pomeroy, DO
• Gregory Ryan Pomicter, MD
• Poole Counseling Group LLC
• Christian Popa, MD
• Vaishali B Popat, MD,MPH
• Janessa D Pope
• Caroline Poplin, M.D.
• Christopher John Popma, MD

• Critical Care Medicine Registered Nurse in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Critical Care Medicine Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.