Individual provider Active NPI

Tyler Lane

  • Home Health Agency
  • Washington, DC
National Provider Identifier
1952992034
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
770 Water Lily LN NE Apt B
Washington, DC 20019-1913
Phone
(919) 298-0291
NPI assigned
Feb 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

770 Water Lily LN NE Apt B
Washington, DC 20019-1913

Mailing address

770 Water Lily LN NE Apt B
Washington, DC 20019-1913

Other practice location 1

770 Water Lily Ln NE Apt B
Washington, DC 20019-1913
Phone (919) 298-0291

Other identifiers 1

IdentifierTypeStateIssuer
0070981647MedicaidDC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tlane040@icloud.com

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": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1952992034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 WATER LILY LN NE APT B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200191913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WATER LILY LN NE APT B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200191913",
            "telephone_number": "919-298-0291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Water Lily Ln NE Apt B",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200191913",
            "country_code": "US",
            "telephone_number": "919-298-0291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070981647",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tlane040@icloud.com",
            "affiliation": "N",
            "address_1": "770 Water Lily Ln NE Apt B",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200191913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.