Active NPI
Tyler Darl Albrecht, D.C.
- Chiropractor
- St Augustine, FL
National Provider Identifier
1982937173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9751
- Practice address
- 1750 Tree Blvd Ste 8
St Augustine, FL 32084-5719 - Phone
- (904) 429-7750
- Fax
- (904) 429-7664
- NPI assigned
- Sep 7, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH9751 | FL | Primary |
Addresses
Primary practice location
1750 Tree Blvd Ste 8
St Augustine, FL 32084-5719
Mailing address
1750 Tree Blvd Ste 8
St Augustine, FL 32084-5719
Phone (904) 429-7750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2209N | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111003000048 | FL | Practitioner - Chiropractic | 9638341381 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1750 Tree Blvd
Suite 8
Saint Augustine, FL 32084-5719
Phone (904) 429-7750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9751 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Darl Albrecht D.C., P.a. | Chiropractor | Current | Accepting new patients |
Locations
1750 Tree Blvd
Ste 8
St Augustine, FL 32084
Phone (904) 429-7750
Organizations & group practices 1
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.
-
- Chiropractor
- St Augustine, FL
- NPI 1457630063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1982937173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 TREE BLVD STE 8",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320845719",
"telephone_number": "904-429-7750",
"fax_number": "904-429-7664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 TREE BLVD STE 8",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320845719",
"telephone_number": "904-429-7750",
"fax_number": "904-429-7664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBRECHT",
"first_name": "TYLER",
"middle_name": "DARL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-07",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "2209N",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.