Tynlo LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

TYNLO LLC

Practice address

524 Cleveland Blvd Ste 110
Caldwell, ID 83605-4079

Phone

(208) 249-8235

Fax

(208) 459-1504

NPI assigned

May 14, 2024

Organization subpart

No

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

Authorized official

Name

Tyler Higgins, PHARMDNPI 1740312859

Title

President

Phone

(208) 249-8235

Specialties & licenses 1

Addresses

Other names 1

• Healthy Balance Direct Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Carl Higgins, PHARMD

  • Pharmacist
  • Caldwell, ID
  • NPI 1740312859
  NPD Authorized official
• Heather A Stolworthy, FNP

  • Nurse Practitioner
  • Caldwell, ID
  • NPI 1487623179
  NPD

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1972352870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 BIG CREEK CIR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836868058",
            "telephone_number": "208-249-8235",
            "fax_number": "208-459-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 CLEVELAND BLVD STE 110",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054079",
            "telephone_number": "208-249-8235",
            "fax_number": "208-459-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYNLO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-249-8235",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Balance Direct Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Triple R Recovery LLC
• Brian Richard Trudeau, P.T.
• Mitchell Truong, PHARM.D.
• Thomas Wayne Tryon, PA
• Latasha N Tyler, LMSW
• Megan Ann Ughetto, COA
• Karl P Undesser, MD
• Uniat Dentistry Inc
• Brooks Joseph Uniat, DDS
• Unified Supports of Idaho LLC

• Health Service Clinic/Center in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Health Service Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.