Tyler Giovanni Henry

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

338230 Issued in NY

Practice address

79 N Oxford Walk Apt 8a
Brooklyn, NY 11205-3140

Phone

(631) 307-2519

NPI assigned

Dec 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1740877786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 N OXFORD WALK APT 8A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 N OXFORD WALK APT 8A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053140",
            "telephone_number": "631-307-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "TYLER",
        "middle_name": "GIOVANNI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "338230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "htyler15@gmail.com",
            "affiliation": "N",
            "address_1": "79 N Oxford Walk Apt 8A",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112053140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roxanne NL Henry, LMSW
• Samantha Henry
• Sashakay Henry
• Shirley Andria Henry, RN
• Tanielle Henry
• Jessamyn Susanna Henschel, MPS, LCAT, ATR-BC
• Stacey Lynn Hensel, MA ,MT-BC, LCT
• Jennifer Hensley
• Sandra W Henson
• Jae Jin Heo, PHARM. D.

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.