Condrella R Tyler

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703127919 Issued in MI

Practice address

3353 Hospital Rd
Saginaw, MI 48603-9622

Phone

(989) 746-9633

NPI assigned

Oct 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Livingwell Manor Homes, LLC

  • Nursing Care Agency
  • Burton, MI
  • NPI 1073301255

  Licensed Practical Nurse

  NPD Authorized official
• Livingwell Manor Homes, LLC

  • Community/Behavioral Health Agency
  • Flint, MI
  • NPI 1801732755

  Licensed Practical Nurse

  NPD Authorized official

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1881413755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 HOSPITAL RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486039622",
            "telephone_number": "989-746-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 HOSPITAL RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486039622",
            "telephone_number": "989-746-9633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 W Tobias St",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485033975",
            "country_code": "US",
            "telephone_number": "810-233-4093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYLER",
        "first_name": "CONDRELLA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703127919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darhonda Turner
• Taylor Alexis Turner, BT
• Willie Edwin Turner Sr., PA-C
• Samuel Jesse Tweedie, DO
• Karly Lyn Twining, NP
• Diedre Tyler
• Dianne D Tyndall, LMSW
• Felecia Frances Tyson
• Gregory Tyson
• Vickey Tyson

• Licensed Practical Nurse in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.