Andrea Tyler

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2112091 Issued in NC

Practice address

1000 Johns Rd
Laurinburg, NC 28352-5122

Phone

(910) 221-4307

NPI assigned

Dec 11, 2023

Last updated

Dec 11, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1689441420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 CHAPELWOOD CIR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNS RD",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525122",
            "telephone_number": "910-221-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2112091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Touched by an Angel, LLC
• TT&T Services
• Jordan Ryan Tucker, FNP
• Habiba Tunau, M.D.
• Turning Point Learning Academy
• Urgent Cares of America North Carolina Inc (FastMed Urgent Care of Laurinburg)
• Pamela Catalina Vasquez Buitron, M.D
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1255)
• Wal-Mart Stores East, LP (Vision Center 30-1255)
• Aikya F Waldo, MD

• Speech-Language Pathologist in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.