Individual provider Active NPI

Julia D'Laine Tyler, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1710311527
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08621 Issued in TX
Practice address
8715 Village Dr Ste 120
San Antonio, TX 78217-5425
Phone
(210) 477-5151
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08621 TX Primary

Addresses

Primary practice location

8715 Village Dr Ste 120
San Antonio, TX 78217-5425

Mailing address

8715 Village Dr Ste 120
San Antonio, TX 78217-5425
Phone (210) 477-5151

Other identifiers 2

IdentifierTypeStateIssuer
361529603MedicaidTX
361529602MedicaidTX

Electronic endpoints 8

TypeEndpointUseAffiliation
Direct Messaging Address jtyler33285@direct.kelsey-seybold.com Direct
FHIR URL https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address jtyler33285@direct.kelsey-seybold.com Direct
FHIR URL https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address jtyler33285@direct.kelsey-seybold.com Direct
FHIR URL https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address jtyler33285@direct.kelsey-seybold.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20151102002170 TX Practitioner - Physician Assistant 4981914017 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

18707 Hardy Oak Blvd
Suite 415
San Antonio, TX 78258-4841
Phone (210) 477-5151

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

6704 Randolph Blvd
Live Oak, TX 78233-4222
Phone (210) 477-5151

8715 Village Dr
Suite 120
San Antonio, TX 78217-5425
Phone (210) 477-5151

8811 Village Dr
San Antonio, TX 78217-5415

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Mar 21, 2016 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 13, 2024 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 13, 2024 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
New Medical Horizons II, LTD. Past Accepting new patients
Sienna Practitioners PLLC Surgical Past Accepting new patients

Locations

3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

5655 W Sam Houston Pkwy N
Houston, TX 77041
Phone (281) 500-8900

6704 Randolph Blvd
Live Oak, TX 78233
Phone (210) 656-9506

914 Brazosport Blvd N
Richwood, TX 77531
Phone (979) 230-0407

8715 Village Dr
Ste 120
San Antonio, TX 78217
Phone 2104775151 ext. 108

18707 Hardy Oak Blvd
Ste 415
San Antonio, TX 78258
Phone 2104775151 ext. 108

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

17766 Verde Pkwy
Ste 150
Selma, TX 78154

Interoperability endpoints

  • Direct secure messaging: julia.tyler.1@1438.direct.athenahealth.com

Organizations & group practices 9

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1710311527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175425",
            "telephone_number": "210-477-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175425",
            "telephone_number": "210-477-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "JULIA",
        "middle_name": "D'LAINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361529603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361529602",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtyler33285@direct.kelsey-seybold.com",
            "affiliation": "N",
            "endpointDescription": "digital contact information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22121 Fm 1093 Rd",
            "city": "Richmond",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774072140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR endpoint URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25553 US Highway 59",
            "city": "Porter",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773655500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtyler33285@direct.kelsey-seybold.com",
            "affiliation": "N",
            "endpointDescription": "digital contact information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25553 US Highway 59",
            "city": "Porter",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773655500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR endpoint URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13105 Wortham Center Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770655611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtyler33285@direct.kelsey-seybold.com",
            "affiliation": "N",
            "endpointDescription": "digital contact information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13105 Wortham Center Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770655611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR endpoint URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22121 Fm 1093 Rd",
            "city": "Richmond",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774072140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR endpoint URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "106 Vision Park Blvd",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773843000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtyler33285@direct.kelsey-seybold.com",
            "affiliation": "N",
            "endpointDescription": "digital contact information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "106 Vision Park Blvd",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773843000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.