MR. TYLER K MURRAY (NPI# 1114462405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114462405 |
| Entity Type | Individual |
| Full Name | MR. TYLER K MURRAY |
| Practice Address |
1910 University Dr Boise ID 83725-0001 |
| Mailing Address |
5008 W Charles St Meridian ID 83646-5382 |
| Practice Telephone | 2088711082 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669019980 | Tyler Murray | Physical Therapist | 4901 Lac De Ville Blvd, Building D, Rochester, NY 14618-5647 | 2019-12-05 |
| 1376187757 | Tyler Murray | Nurse Practitioner | 3000 N Triumph Blvd, Lehi, UT 84043-4999 | 2019-10-29 |
| 1023521713 | Tyler Alaya Murray | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1316364235 | Tyler Owen Murray | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave Rm M-987, San Francisco, CA 94143-0119 | 2014-03-28 |
| Street Address |
1910 UNIVERSITY DR |
| City | BOISE |
| State | ID |
| Zip Code | 83725-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285607598 | Dave Lynn Hammons I | Specialist | 1910 University Dr, Boise, ID 83725-1710 | 2006-02-08 |
| 1548876469 | Rylie Michelle Miller | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-0002 | 2020-09-16 |
| 1700359916 | Taylor Lannea Aylsworth-hayfield | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-0001 | 2019-01-10 |
| 1275071110 | Savannah Knighton | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-0001 | 2017-02-10 |
| 1710352430 | Andrew Wingfield | Counselor | 1910 University Dr, Boise, ID 83725-1351 | 2015-12-07 |
| 1083006274 | Sarah O'brien | Social Worker | 1910 University Dr, Boise, ID 83725-1351 | 2015-02-24 |
| 1790183978 | Brandon Voigt | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-1020 | 2014-12-19 |
| 1962800425 | Syringa Stark | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-1020 | 2014-12-16 |
| 1063812717 | Seth Rede | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-1021 | 2014-08-31 |
| 1518367267 | Catherine Tisler | Specialist/Technologist | 1910 University Dr, Ms 1021, Boise, ID 83725-0001 | 2014-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194276550 | Dylan E Schmick | Specialist/Technologist | 1910 University Drive, Boise, ID 83725 | 2016-10-20 |
| 1770183089 | Boise State University | Clinical Medical Laboratory | Bsu Science Bld Room 239 2133 W Cesar Chavez Ln, Boise, ID 83725-0001 | 2020-10-27 |
| 1386053213 | Keita Shimada | Specialist | 1910 University Dr # Ms 1020, Boise, ID 83725-0001 | 2014-08-05 |
| 1275815904 | Christian Gelok | Nurse Practitioner | 1910 University Dr # Ms 1351, Boise, ID 83725-0001 | 2011-09-20 |
| 1750680849 | Alison Radcliffe | Psychologist | 1529 S Belmont St, Boise, ID 83725-0001 | 2011-03-15 |
| 1336477207 | Rd Boardman | Psychologist | Health Services 1529 Belmont St, Boise, ID 83725-0001 | 2009-12-03 |
| 1194865444 | Boise State Health Center | Clinic/Center | 2103 University Dr, Boise, ID 83725-0001 | 2007-02-07 |
| 1033154802 | James Floyd Spooner | Specialist/Technologist | Boise State University, 1910 University Dr, Boise, ID 83725-0001 | 2006-06-17 |
| 1750947701 | Monique Victoria Barber | Counselor | 1529 Belmont St, Boise, ID 83725-0001 | 2019-05-15 |
| 1033551015 | Tanna Susan Willis | Massage Therapist | 1529 Belmont St, Boise, ID 83725-0001 | 2013-07-19 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733694 | Susan L Boone | Student in an Organized Health Care Education/Training Program | 8506 W Donnybrook Dr, Boise, ID 83709-0606 | 2020-09-02 |
| 1730715855 | Madison Hiatt | Student in an Organized Health Care Education/Training Program | 1209 W Targee St, Boise, ID 83706-4565 | 2020-03-20 |
| 1053946202 | Kaitlyn Casper | Student in an Organized Health Care Education/Training Program | 267 W Arrowrock Ln, Boise, ID 83706-4802 | 2020-03-09 |
| 1952955825 | Lani Jo Hernandez | Student in an Organized Health Care Education/Training Program | 6200 N River Pointe Dr Apt B203, Boise, ID 83714-1848 | 2019-07-30 |
| 1033679865 | Bryce Ellis Turnbull | Student in an Organized Health Care Education/Training Program | 1128 S Garden Pl, Boise, ID 83705-5845 | 2019-03-20 |
| 1306331186 | Alexander Combs | Student in an Organized Health Care Education/Training Program | 5526 N Rothmans Ave, Boise, ID 83713-0950 | 2018-06-25 |
| 1528552031 | Matthew James Wolter | Student in an Organized Health Care Education/Training Program | 3145 S Falling Brook Ln, Boise, ID 83706-5205 | 2018-06-18 |
| 1376037218 | Avery Garner | Student in an Organized Health Care Education/Training Program | 12371 W Goldenrod Ave, Boise, ID 83713-0001 | 2018-06-14 |
| 1760914345 | Hugo Cesar Araujo Lino | Student in an Organized Health Care Education/Training Program | 869 E Holly St, Boise, ID 83712-7840 | 2017-04-01 |
| 1740711019 | Ryan James Blaser | Student in an Organized Health Care Education/Training Program | 912 W Hays St Apt 4, Boise, ID 83702-5461 | 2017-03-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.