Active NPI
Megan Michelle Tyler, MSN FNP-C
- Family Nurse Practitioner
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21585
- Practice address
- 1510 Florida Ave Ste C
Modesto, CA 95350-4437 - Phone
- (209) 628-1468
- NPI assigned
- Feb 20, 2012
- Last updated
- Feb 1, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21585 | CA | Primary |
Addresses
Primary practice location
1510 Florida Ave Ste C
Modesto, CA 95350-4437
Mailing address
1613 Burlwood St
Hughson, CA 95326-9146
Phone (925) 321-2442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Centers | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | Accepting new patients | |
| Golden Valley Health Center | Past | Accepting new patients |
Locations
1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488
1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111
821 Texas Ave
Los Banos, CA 93635
Phone (209) 384-6495
847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441
1114 6th St
Modesto, CA 95354
Phone (209) 576-2845
1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437
1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071
1510 Florida Ave
Modesto, CA 95350
Phone (209) 549-7090
1510 Florida Ave
Ste A
Modesto, CA 95350
Phone (209) 492-7150
1510 Florida Ave
Ste C
Modesto, CA 95350
Phone (209) 628-1468
2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 527-0080
637 Merced St
Newman, CA 95360
Phone (209) 862-0270
200 C St
Patterson, CA 95363
Phone (209) 892-8441
4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900
1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Turlock, CA
- NPI 1356445753
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1568939205
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1487867503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1922371004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 BURLWOOD ST",
"city": "HUGHSON",
"state": "CA",
"postal_code": "953269146",
"telephone_number": "925-321-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 FLORIDA AVE STE C",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504437",
"telephone_number": "209-628-1468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "MEGAN",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "MSN FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-20",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.