Individual provider Active NPI

Tavane Tyler, M.ED CCC-SLP

  • Speech-Language Pathologist
  • North Las Vegas, NV
National Provider Identifier
1790505923
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-4074 Issued in NV
Practice address
6917 Willow Warbler St
North Las Vegas, NV 89084-2639
Phone
(702) 339-7419
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-4074 NV Primary

Addresses

Primary practice location

6917 Willow Warbler St
North Las Vegas, NV 89084-2639

Mailing address

6917 Willow Warbler St
North Las Vegas, NV 89084-2639
Phone (702) 339-7419

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
SP-4074NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Beyond Speech Speech-Language Pathologist CurrentSince Jun 29, 2025 Accepting new patients

Locations

3355 Clayton St
Ste 15
North Las Vegas, NV 89032
Phone (702) 339-7419

Organizations & group practices 1

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": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1790505923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 WILLOW WARBLER ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842639",
            "telephone_number": "702-339-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 WILLOW WARBLER ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842639",
            "telephone_number": "702-339-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "TAVANE",
        "credential": "M.ED CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-4074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.