TYLER POOR (NPI# 1366075996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366075996 |
Entity Type | Individual |
Full Name | TYLER POOR |
Practice Address |
555 Hospital Ln Susanville CA 96130-4808 |
Practice Telephone | 5302518108 |
Mailing Telephone | 5302518108 |
Enumeration Date | 2020-02-21 |
Last Update Date | 2020-02-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
555 HOSPITAL LN |
City | SUSANVILLE |
State | CA |
Zip Code | 96130-4808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407879240 | Raymond Duane Hopson | Psychiatry & Neurology | 555 Hospital Ln, Susanville, CA 96130-4808 | 2006-07-25 |
1144714767 | Rebecca Jordan | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2018-06-18 |
1881185882 | Micah James Freeman | Counselor | 555 Hospital Ln, Susanville, CA 96130-4808 | 2018-05-24 |
1851881635 | Leslie Goni | Counselor | 555 Hospital Ln, Susanville, CA 96130-4808 | 2018-05-16 |
1356842223 | Melissa Huffman | Social Worker | 555 Hospital Ln, Susanville, CA 96130-4808 | 2018-02-26 |
1700304672 | Nichole Leshawn Johnson | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2017-08-31 |
1194249532 | Catherine Schuck | Licensed Vocational Nurse | 555 Hospital Ln, Susanville, CA 96130-4808 | 2017-07-27 |
1366966707 | Alyssa Marie Gaynor | Licensed Vocational Nurse | 555 Hospital Ln, Susanville, CA 96130-4808 | 2017-07-27 |
1427596832 | Emily Bird | Licensed Vocational Nurse | 555 Hospital Ln, Susanville, CA 96130-4808 | 2017-02-06 |
1902341613 | Catherina Maguire | Registered Nurse | 555 Hospital Ln, Susanville, CA 96130-4808 | 2017-01-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
Find all providers in zip 96130 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144433897 | Darrell R Foster | Rehabilitation Practitioner | 1400 Chestnut St, Suite A, Susanville, CA 96130 | 2007-05-08 |
1659592822 | Orlando Alberto Caprari | Rehabilitation Practitioner | 1445 Paul Bunyan Rd, Susanville, CA 96130 | 2007-05-02 |
1316168198 | Virginia Mary Harris | Rehabilitation Practitioner | 555 Hospital Lane, Susanville, CA 96130 | 2007-05-01 |
1144714767 | Rebecca Jordan | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2018-06-18 |
1700304672 | Nichole Leshawn Johnson | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2017-08-31 |
1427501055 | Tina Richards | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2016-08-01 |
1407207970 | Janet Marinoni | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2016-06-27 |
1629428412 | Sariah Hathaway | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2016-06-13 |
1457724767 | Trinity Leslie | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2015-11-09 |
1295101293 | Erin Welch | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2015-08-13 |
Find all providers in SUSANVILLE |
City | SUSANVILLE |
Zip Code | 96130 |
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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.