Active NPI
Julia D'Laine Tyler, PA-C
- Physician Assistant
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA08621
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 361529603 | Medicaid | TX | |
| 361529602 | Medicaid | TX |
Electronic endpoints 8
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skilled Facility Health Care Solutions Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | 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
- 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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1013915255
-
- Surgical Technologist
- Sugar Land, TX
- NPI 1215220116
-
- Urology Physician
- Houston, TX
- NPI 1548613128
-
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1831492651
-
- General Acute Care Hospital
- Houston, TX
- NPI 1477583334
-
- Surgical Physician Assistant
- Missouri City, TX
- NPI 1750741047
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.