Active NPI
Hillary Tyranski, PA
- Physician Assistant
- Jackson, MI
National Provider Identifier
1447651955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601007105
- Practice address
- 100 E Michigan Ave Ste 101
Jackson, MI 49201-1406 - Phone
- (517) 768-7766
- Fax
- (517) 796-6446
- NPI assigned
- Sep 16, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601007105 | MI | Primary |
Addresses
Primary practice location
100 E Michigan Ave Ste 101
Jackson, MI 49201-1406
Mailing address
100 E Michigan Ave Ste 101
Jackson, MI 49201-1406
Phone (517) 768-7766
Other names 1
- Hillary Kast
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1447651955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E MICHIGAN AVE STE 101",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011406",
"telephone_number": "517-768-7766",
"fax_number": "517-796-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MICHIGAN AVE STE 101",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011406",
"telephone_number": "517-768-7766",
"fax_number": "517-796-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYRANSKI",
"first_name": "HILLARY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HILLARY",
"last_name": "KAST",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.