Active NPI
Tierra Tyler, CCMA, CNA
- Case Manager/Care Coordinator
- Alameda, CA
National Provider Identifier
1417888728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 875 Island Dr # 252
Alameda, CA 94502-6781 - Phone
- (470) 590-9483
- NPI assigned
- May 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 01308658 | CA | |
| Home Health Agency | 251E00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
875 Island Dr # 252
Alameda, CA 94502-6781
Mailing address
875 Island Dr # 252
Alameda, CA 94502-6781
Phone (470) 590-9483
Other names 1
- Poetic Tyler
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01308658 | CA | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rattlers Rose LLC | Case Manager/Care Coordinator | Current | Accepting new patients |
Organizations & group practices 1
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": "1779753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1417888728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 ISLAND DR # 252",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945026781",
"telephone_number": "470-590-9483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 ISLAND DR # 252",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945026781",
"telephone_number": "470-590-9483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "TIERRA",
"credential": "CCMA, CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-26",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "CA",
"license": "01308658",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "POETIC",
"last_name": "TYLER",
"credential": "CCMA, CNA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.