Individual provider Active NPI

Tyler Glunt

  • General Practice Registered Nurse
  • Duncansville, PA
National Provider Identifier
1780077628
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN661105 Issued in PA
Practice address
125 Maple Hollow Rd
Duncansville, PA 16635-7920
Phone
(814) 693-2273
Fax
(814) 693-1191
NPI assigned
Mar 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN661105 PA Primary
Gerontology Registered Nurse 163WG0600X RN661105 PA
Pediatric Registered Nurse 163WP0200X RN661105 PA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN661105 PA

Addresses

Primary practice location

125 Maple Hollow Rd
Duncansville, PA 16635-7920

Mailing address

PO Box 574
Duncansville, PA 16635-0574
Phone (814) 693-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN661105PAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Private Care Resources, Inc General Practice Past Accepting new patients
Private Care Resources, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1780077628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166350574",
            "telephone_number": "814-693-2273",
            "fax_number": "814-693-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAPLE HOLLOW RD",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166357920",
            "telephone_number": "814-693-2273",
            "fax_number": "814-693-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUNT",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PA",
            "license": "RN661105",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "PA",
            "license": "RN661105",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "PA",
            "license": "RN661105",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "RN661105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncansville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.