Byron Tillman, REGISTERED NURSE

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

R49484 Issued in NM

Practice address

2600 Yale Blvd SE Ste 2220
Albuquerque, NM 87106-4383

Phone

(505) 272-4327

Fax

(505) 272-7232

NPI assigned

Oct 13, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1497471270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 YALE BLVD SE STE 2220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064383",
            "telephone_number": "505-272-4327",
            "fax_number": "505-272-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 YALE BLVD SE STE 2220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064383",
            "telephone_number": "505-272-4327",
            "fax_number": "505-272-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "BYRON",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NM",
            "license": "R49484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Tilbury, PHARMD
• Tiley'S Toothfairies
• Kellie Dawn Tillerson, BS
• Kory A Tillery, MD
• Kathy F. Tilley, MA, RN, LPCC
• Chelsea Tillman, SLP
• Charles E Tilson, DMD
• Tim Sleigh Manual Therapy Services
• Jamie Ann Timberman, RN
• Barbara A Timm, LPCC

• Ambulatory Care Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Ambulatory Care Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.