Tyson M. Fieldsted

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95001306 Issued in CA

Practice address

230 S Montclair St Ste 100
Bakersfield, CA 93309-3117

Phone

(661) 473-1533

NPI assigned

Sep 23, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Langlois Medical CorporationGroup PAC ID 1557255932, 2 clinicians

Kern Neurosurgical Institute IncGroup PAC ID 7517197510, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22335/brand/1/csg/1/fhir/r4
• Direct secure messaging: tyson.fieldsted.1@22335.direct.athenahealth.com

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.

• Kern Neurosurgical Institute, Inc

  • Neurological Surgery Physician
  • Bakersfield, CA
  • NPI 1659792158

  CA

  Medicare reassignment Care Compare group NPD
• Langlois Medical Corporation

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bakersfield, CA
  • NPI 1043343247

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1760884530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9906 BARNES DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S MONTCLAIR ST STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933093117",
            "telephone_number": "661-473-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDSTED",
        "first_name": "TYSON",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001306",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95001306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zayne Russell Fidler
• David Ross Field, M.D.
• Robyn Loretta Field, PH.D.
• Allison Fields
• Willie Lee Fields
• Crystol Jenny Fierro-Marquez
• Taylor Diane Fierro
• Araceli Fierros
• Fifth Optometric Care of California
• Fifth Optometric Care of California

• All providers in Bakersfield, CA
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.

Verify at the official NPI Registry.