Active NPI
Tyler Lamb
- Certified Registered Nurse Anesthetist
- Aurora, CO
National Provider Identifier
1457991341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 128785
- Practice address
- 3000 S Jamaica CT Ste 140
Aurora, CO 80014-4601 - Phone
- (303) 755-3201
- NPI assigned
- Jan 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 128785 | TN | Primary |
Addresses
Primary practice location
3000 S Jamaica CT Ste 140
Aurora, CO 80014-4601
Mailing address
295 Eclipse Dr
Colorado Springs, CO 80905-4300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128785 | Other | TN | NBCRNA |
| C-APN.0001824-C-CRNA | Other | CO | COLORADO DORA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128785 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Novamed Surgery Center of Denver LLC | Past | Accepting new patients | |
| Novamed Surgery Center of Colorado Springs, LLC | Past | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Ambulatory Surgical Clinic/Center
- Colorado Springs, CO
- NPI 1750386322
-
- Ambulatory Surgical Clinic/Center
- Englewood, CO
- NPI 1508862624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1457991341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 ECLIPSE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809054300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 S JAMAICA CT STE 140",
"city": "AURORA",
"state": "CO",
"postal_code": "800144601",
"telephone_number": "303-755-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMB",
"first_name": "TYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "128785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCRNA",
"identifier": "128785",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DORA",
"identifier": "C-APN.0001824-C-CRNA",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.