Active NPI
Nicholas Champe Tyner
- Health & Wellness Coach
- Eureka, CA
National Provider Identifier
1699690396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 1A46CB1411
- Practice address
- 622 H St
Eureka, CA 95501-1026 - Phone
- (707) 582-3246
- Fax
- (707) 445-7143
- NPI assigned
- Aug 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | 1A46CB1411 | CA | Primary |
Addresses
Primary practice location
622 H St
Eureka, CA 95501-1026
Mailing address
622 H St
Eureka, CA 95501-1026
Phone (707) 582-3246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1699690396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 H ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955011026",
"telephone_number": "707-582-3246",
"fax_number": "707-445-7143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 H ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955011026",
"telephone_number": "707-582-3246",
"fax_number": "707-445-7143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYNER",
"first_name": "NICHOLAS",
"middle_name": "CHAMPE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-11",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "CA",
"license": "1A46CB1411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.