Tyler M Florek

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

13815 N 34TH Ave
Phoenix, AZ 85053-5611

Phone

(928) 651-3636

NPI assigned

Jun 14, 2020

Last updated

Aug 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in AZ

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maricopa County Special Health Care District

  dba Valleywise Health

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1073576740
  Medicare reassignment

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

{
    "created_epoch": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1447875513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13815 N 34TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850535611",
            "telephone_number": "928-651-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13815 N 34TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850535611",
            "telephone_number": "928-651-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOREK",
        "first_name": "TYLER",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-14",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Flittie, FNP
• Sarah Flocks
• Kehart Lynn Flom Racoma
• Emmet J. Flood, DPT
• Timothy John Flood, M.D.
• Florence Crittenton Services of Arizona, Inc. (FCS Community Based Services)
• Florence Crittenton Services of Arizona, Inc. (FCS Therapeutic Group Home)
• Florence Wellness PLLC
• Bradley G Florence, DO
• Mark F Florentine, M.S CCC-SLP

• Registered Dietitian in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.