Individual provider Active NPI

Brittany Rose Tyson, NP-C

  • Gerontology Nurse Practitioner
  • Flat Rock, NC
National Provider Identifier
1811539299
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5011723 Issued in NC
Practice address
571 S Allen Rd
Flat Rock, NC 28731-9447
Phone
(828) 692-6178
Fax
(866) 466-9734
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012426 NC
Gerontology Nurse Practitioner 363LG0600X 5011723 NC Primary

Addresses

Primary practice location

571 S Allen Rd
Flat Rock, NC 28731-9447

Mailing address

571 S Allen Rd
Flat Rock, NC 28731-9447
Phone (828) 692-6178

Other practice location 1

68 Hospital Rd Ste 201
Sylva, NC 28779-2722
Phone (828) 586-7654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20200130001050 NC Practitioner - Nurse Practitioner 4284060815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5011723NCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1811539299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319447",
            "telephone_number": "828-692-6178",
            "fax_number": "866-466-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319447",
            "telephone_number": "828-692-6178",
            "fax_number": "866-466-9734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Hospital Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sylva",
            "state": "NC",
            "postal_code": "287792722",
            "country_code": "US",
            "telephone_number": "828-586-7654",
            "fax_number": "828-586-7655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYSON",
        "first_name": "BRITTANY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012426",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5011723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, NC

Sources for this page

Verify at the official NPI Registry.