Nicole M. Tyer, M.D., Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NICOLE M. TYER, M.D., INC.

Practice address

435 N Roxbury Dr Ste 300
Beverly Hills, CA 90210-5005

Phone

(310) 278-1388

NPI assigned

Nov 4, 2022

Last updated

Nov 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Marie Tyer, MDNPI 1346400785

Title

Physician

Phone

(917) 544-1982

Specialties & licenses 1

Addresses

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Marie Tyer, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1346400785
  NPD Authorized official

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1700593043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105005",
            "telephone_number": "310-278-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105005",
            "telephone_number": "310-278-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE M. TYER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "TYER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-544-1982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole@nicoletyermd.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "435 N Roxbury Dr Ste 300",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902105005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole@nicoletyermd.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "435 N Roxbury Dr Ste 300",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902105005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas S Fuller M D Inc
• Amy Nicole Nichols, MS, FNP-BC
• Cathi Theresa Nicklas, FNP
• Nicola Natsis MD Inc
• Nicolas a. Ravon, DDS, MSD, Inc.
• Jia Nie
• Kim Nielsen
• Brendan Joseph Nierenberg, LMFT
• David Soheil Nikfarjam, D.D.S.
• Nicholas R. Nikolov, M.D.

• Primary Care Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.