Individual provider Active NPI

Joann Li Yen Tye, M.D.

  • Obstetrics & Gynecology Physician
  • Puyallup, WA
National Provider Identifier
1982982583
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD60632832 Issued in WA
Practice address
1701 3Rd St SE Ste 200
Puyallup, WA 98372-4511
Phone
(253) 840-4444
Fax
(253) 840-5239
NPI assigned
Jul 30, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA09703400 NJ
Obstetrics & Gynecology Physician 207V00000X MD60632832 WA Primary

Addresses

Primary practice location

1701 3Rd St SE Ste 200
Puyallup, WA 98372-4511

Mailing address

1701 3Rd St SE Ste 200
Puyallup, WA 98372-4511
Phone (253) 840-4444

Other practice location 1

193 Mountain Ave
Springfield, NJ 07081-1755
Phone (973) 218-1579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09703400NJMDObstetrics & Gynecology Physician
MD60632832WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Womens Health Specialists Inc P.S. Single Specialty CurrentSince Feb 7, 2017 Accepting new patients

Locations

1701 3rd St SE
Ste 200
Puyallup, WA 98372
Phone (253) 840-4444

3912 10th St SE
#100
Puyallup, WA 98374
Phone (253) 840-4444

Interoperability endpoints

  • Direct secure messaging: jtye226545@direct.multicare.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982982583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 3RD ST SE STE 200",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724511",
            "telephone_number": "253-840-4444",
            "fax_number": "253-840-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 3RD ST SE STE 200",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724511",
            "telephone_number": "253-840-4444",
            "fax_number": "253-840-5239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "193 Mountain Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "NJ",
            "postal_code": "070811755",
            "country_code": "US",
            "telephone_number": "973-218-1579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYE",
        "first_name": "JOANN",
        "middle_name": "LI YEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA09703400",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD60632832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.