Active NPI
Raymond Milton Tyler, LVN
- Licensed Vocational Nurse
- Las Cruces, NM
National Provider Identifier
1831721927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 136353
- Practice address
- 805 S Main St
Las Cruces, NM 88001-1240 - Phone
- (575) 524-2262
- Fax
- (575) 524-9140
- NPI assigned
- Feb 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 136353 | TX | Primary |
Addresses
Primary practice location
805 S Main St
Las Cruces, NM 88001-1240
Mailing address
5001 N Piedras St
El Paso, TX 79930-4210
Phone (915) 564-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136353 | Other | TX | TEXAS BOARD OF NURSING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | raymond.tyler@bplgroup.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1831721927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 N PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799304210",
"telephone_number": "915-564-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 S MAIN ST",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880011240",
"telephone_number": "575-524-2262",
"fax_number": "575-524-9140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "RAYMOND",
"middle_name": "MILTON",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-07",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "136353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF NURSING",
"identifier": "136353",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "raymond.tyler@bplgroup.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "805 S Main St",
"city": "Las Cruces",
"state": "NM",
"country_code": "US",
"postal_code": "880011240",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.