Angela Kaye Tyree, RN, BSN, CPN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

0001265073 Issued in VA

Practice address

2137 Lakeside Dr
Lynchburg, VA 24501-6806

Phone

(434) 404-7200

Fax

(434) 385-8616

NPI assigned

Apr 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Kaye Tyree Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1538913561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 FRENCH LN",
            "city": "AMHERST",
            "state": "VA",
            "postal_code": "245214763",
            "telephone_number": "434-713-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 LAKESIDE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245016806",
            "telephone_number": "434-404-7200",
            "fax_number": "434-385-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYREE",
        "first_name": "ANGELA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, CPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "state": "VA",
            "license": "0001265073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "TYREE",
            "middle_name": "KAYE",
            "credential": "RN, BSN, CPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tweedy Mentoring Services LLC
• Eugene Alphonso Tweedy Jr.
• Katherine Behner Twiggs, FNP-C
• Emily Tyler
• Michael W Tyler, DDS
• Heather T Tyree, DO
• Alison Ullman, M.D.
• Beth B Ulrich, LCSW
• Marcia Umbarger
• Mark Unger

• Pediatric Registered Nurse in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Pediatric Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.