Individual provider Active NPI

Tyler Hamann

  • Gerontology Nurse Practitioner
  • Lenexa, KS
National Provider Identifier
1487552667
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
86373 Issued in KS
Practice address
9100 Park St Ste 100
Lenexa, KS 66215-3353
Phone
(877) 279-5960
Fax
(877) 384-3106
NPI assigned
Oct 28, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 86373 KS Primary

Addresses

Primary practice location

9100 Park St Ste 100
Lenexa, KS 66215-3353

Mailing address

3710 S Howell Rd
Oak Grove, MO 64075-7175
Phone (816) 786-7253

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1793145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1487552667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 S HOWELL RD",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640757175",
            "telephone_number": "816-786-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 PARK ST STE 100",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153353",
            "telephone_number": "877-279-5960",
            "fax_number": "877-384-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMANN",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "86373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.