Alycia Tyler

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.004812 Issued in IL

Practice address

9424 256TH St N
Port Byron, IL 61275-9727

Phone

(309) 523-3186

NPI assigned

Aug 23, 2018

Last updated

Aug 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1689155038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221225",
            "telephone_number": "630-402-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9424 256TH ST N",
            "city": "PORT BYRON",
            "state": "IL",
            "postal_code": "612759727",
            "telephone_number": "309-523-3186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 5th St",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "IL",
            "postal_code": "612569662",
            "country_code": "US",
            "telephone_number": "309-755-0693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1403 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Silvis",
            "state": "IL",
            "postal_code": "612821757",
            "country_code": "US",
            "telephone_number": "309-796-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYLER",
        "first_name": "ALYCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.004812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Bruce Perry, D.O.
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• Karenina Marie Slone, RN

• Speech-Language Pathologist in Port Byron, IL
• Providers in Port Byron, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.