Tyler Dawn Cooper, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

220213775NP-PP Issued in OR

Practice address

180 S Empire Blvd
Coos Bay, OR 97420-3352

Phone

(775) 304-3811

NPI assigned

Sep 3, 2021

Sex

Female

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

Enrolled in OR, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

University of Utah School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coquille Indian TribeGroup PAC ID 6002805330, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Coquille Indian Tribe

  dba Ko-Kwel Wellness Center

  • Clinic/Center
  • Coos Bay, OR
  • NPI 1376592287

  TX

  Medicare reassignment Care Compare group
• Waterfall Clinic Incorporated

  dba Waterfall Community Health Center

  • Federally Qualified Health Center (FQHC)
  • North Bend, OR
  • NPI 1619915113
  Medicare reassignment NPD
• Bee Mental Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Coos Bay, OR
  • NPI 1265370092
  NPD Authorized official
• Waterfall Clinic, Incorporated

  dba Waterfall Behavorial Health Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Coos Bay, OR
  • NPI 1619673704
  NPD

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1447928494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95440 LILLIAN SLOUGH LN",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974207557",
            "telephone_number": "775-304-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S EMPIRE BLVD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974203352",
            "telephone_number": "775-304-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "TYLER",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "220213775NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Combs
• Compass Nutrition, LLC
• Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians (Three Rivers Health Center - Coos Bay)
• Confederated Tribes of Coos, Lower Umpqua, & Siuslaw Indians (Three Rivers Health Center - Dental)
• Bret Alan Cook, MD
• Coos Bay of Cascadia, LLC
• Coos Bay Rehabilitation, Inc.
• Coos Bay Rehabilitation, LLC (Avamere Rehabilitation of Coos Bay)
• Coos Bay School District 9
• Coos Bay Vision Center, Inc

• Psychiatric/Mental Health Nurse Practitioner in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.