Active NPI
Tyler Dale Chanley
- Registered Nurse
- Joplin, MO
National Provider Identifier
1679416937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R0136481
- Practice address
- 100 Mercy Way
Joplin, MO 64804-4524 - Phone
- (417) 781-2727
- NPI assigned
- Apr 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R0136481 | OK | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 2026026201 | MO |
Addresses
Primary practice location
100 Mercy Way
Joplin, MO 64804-4524
Mailing address
6225 N State Highway 161 Ste 200
Irving, TX 75038-2241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13500 Powers CT
Fort Myers, FL 33912-4503
PO Box
Dallas, TX 75261
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0136481 | OK | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1679416937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6225 N STATE HIGHWAY 161 STE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750382241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MERCY WAY",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648044524",
"telephone_number": "417-781-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANLEY",
"first_name": "TYLER",
"middle_name": "DALE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-13",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "R0136481",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2026026201",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
- Jordan Chaffee
- Rama Challapalli Sri, M.D.
- Christine Ann Chambers, APRN
- Connie Suzzette Chambers, LPTA
- Craig W Chandler, DO
- Amy Elizabeth Chapman, PMHNP-BC
- Mikayla N Chappell
- Chapters Joplin Opco LLC (Chapters Living of Joplin)
- Charlottes Angels, LLC (Charlotte's Angels Home Care Services)
- Angela Juleen Cheney, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.