Active NPI
Tyler Daniel Healy, ATC, EMT-B
- Athletic Trainer
- Hanford, CA
National Provider Identifier
1851783716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000021255
- Practice address
- 653 Pepper Dr Apt B
Hanford, CA 93230-3344 - Phone
- (559) 410-1203
- NPI assigned
- Mar 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E098290 | CA | |
| Athletic Trainer | 2255A2300X | 2000021255 | Primary |
Addresses
Primary practice location
653 Pepper Dr Apt B
Hanford, CA 93230-3344
Mailing address
653 Pepper Dr Apt B
Hanford, CA 93230-3344
Phone (559) 410-1203
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
| License | State | Type | Specialty |
|---|---|---|---|
| E098290 | CA | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1851783716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 PEPPER DR APT B",
"city": "HANFORD",
"state": "CA",
"postal_code": "932303344",
"telephone_number": "559-410-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 PEPPER DR APT B",
"city": "HANFORD",
"state": "CA",
"postal_code": "932303344",
"telephone_number": "559-410-1203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALY",
"first_name": "TYLER",
"middle_name": "DANIEL",
"credential": "ATC, EMT-B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-02",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "CA",
"license": "E098290",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": "2000021255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.