Zachary James Tilley

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

100535 Issued in WV

Practice address

914 Woodlawn Ave
Beckley, WV 25801-6430

Phone

(304) 673-8595

NPI assigned

Sep 7, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1992614630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 WOODLAWN AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016430",
            "telephone_number": "304-673-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 WOODLAWN AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016430",
            "telephone_number": "304-673-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "ZACHARY",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "100535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany K Thymius, D.O.
• Valerie Tibbitts
• Jaquline Tilley
• Kayla Christine Tilley
• Leila Ann Tilley, PHARMD
• TKR Oral Maxillofacial Surgeons Corporation
• Natalie Mae Todd
• Pamela Todorovich
• Wilfrido T Tolentino Jr., PA C
• Ashley Toler, RN

• Psychiatric/Mental Health Nurse Practitioner in Beckley, WV
• Providers in Beckley, WV by specialty
• Psychiatric/Mental Health Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.