Amanda A. Tymn, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

23223 Issued in CA

Practice address

1207 E Herndon Ave
Fresno, CA 93720-3235

Phone

(559) 432-4303

Fax

(559) 432-4574

NPI assigned

Jul 15, 2013

Last updated

Jul 15, 2013By 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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1811258510
  Medicare reassignment NPD
• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Orthopaedic Surgery Physician
  • Fresno, CA
  • NPI 1376056721
  NPD

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1700227030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203235",
            "telephone_number": "559-432-4303",
            "fax_number": "559-432-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203235",
            "telephone_number": "559-432-4303",
            "fax_number": "559-432-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYMN",
        "first_name": "AMANDA",
        "middle_name": "A.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "23223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twilight Haven
• Twilight Homes, Inc. (Green Villa RCFE/Sunny Garden RCFE)
• Geoff Raymond Twitchell, PH.D.
• Melinda Jane Tyler, M.D., PH.D.
• Sapphire Tylor
• Aidan Tynaeva
• Rebecca Faye Tyrrell
• Andrew Paul Tyson
• Cymone Annise Tyson
• Stephanie Tzinzun Garcia

• Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.