Tyler Scales, PMHNP

Key facts

NPI

1609565175

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

1-162392 (AL)

Practice address

4040 Memorial Pkwy SW
Huntsville, AL 35802-4364

Phone

(256) 533-1970

NPI assigned

May 2, 2023

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• State of New Mexico Nursing Facility/Intermediate Care Facility · Las Vegas, NM · NPI 1992867998
  Medicare reassignment Care Compare group NPD NM
• State of New Mexico Clinical Medical Laboratory · Las Vegas, NM · NPI 1407057607
  Care Compare group

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of New Mexico (21 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 2, 2023.

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1609565175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358024364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358024364",
            "telephone_number": "256-533-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALES",
        "first_name": "TYLER",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-162392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330000014",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

• Pavani Sayana
• Sara Sayle, ED.S, LPC, CCMHC
• SBS Home Care LLC
• Joseph Christian Scales, M.D.
• Tiffany Scales, MS
• Melanie P Scalfano, P. T.
• John William Scarborough, PHARMD
• Neetu Scariya, MD
• Nicole Lynn Schaefer, MSN, WHNP-BC
• Schaeffer Eye Center Inc

All providers in Huntsville, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama