NPIMap

Individual provider Active NPI

Tyler Barney

  • Family Medicine Physician
  • St George, UT
National Provider Identifier
1477299907
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9811111-4405 Issued in UT
Practice address
1173 S 250 W Ste 401
St George, UT 84770-7086
Phone
(435) 688-0648
NPI assigned
May 9, 2022
Last updated
May 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9811111-4405 UT Primary

Addresses

Primary practice location

1173 S 250 W Ste 401
St George, UT 84770-7086

Mailing address

1173 S 250 W Ste 401
St George, UT 84770-7086
Phone (435) 688-0648

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL zionway.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220727001752 UT Practitioner - Nurse Practitioner 7911389796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canyon Healthcare IncGroup PAC ID 8123368925, 11 clinicians
Gadzoom Health LLCGroup PAC ID 3476954793, 26 clinicians

Practice addresses (Care Compare)

1916 N 700
Suite 110
Layton, UT 84041-5754
Phone (801) 444-0221

3401 N Thanksgiving Way
Suite 190
Lehi, UT 84048-4157
Phone (859) 948-2390

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9811111-4405UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Healthcare, Inc. CurrentSince Jul 1, 2022 Accepting new patients

Locations

1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1477299907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 S 250 W STE 401",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707086",
            "telephone_number": "435-688-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 S 250 W STE 401",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707086",
            "telephone_number": "435-688-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNEY",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9811111-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "zionway.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1173 S 250 W Ste 401",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847707086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.