Individual provider Active NPI

Tyler Anthony Sand-Coulter

  • Developmentally Disabled Services Day Training Agency
  • Powell, WY
National Provider Identifier
1689586620
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
228409000 Issued in WY
Practice address
401 US Highway 14a
Powell, WY 82435-9025
Phone
(925) 204-4003
NPI assigned
Sep 22, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 228409000 WY Primary

Addresses

Primary practice location

401 US Highway 14a
Powell, WY 82435-9025

Mailing address

401 US Highway 14a
Powell, WY 82435-9025
Phone (925) 204-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1689586620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 US HIGHWAY 14A",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824359025",
            "telephone_number": "925-204-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 US HIGHWAY 14A",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824359025",
            "telephone_number": "925-204-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAND-COULTER",
        "first_name": "TYLER",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WY",
            "license": "228409000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.