MARY ANN TYLER (NPI# 1821132036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821132036 |
| Entity Type | Individual |
| Full Name | MARY ANN TYLER |
| Practice Address |
6500 Excelsior Blvd St Louis Park MN 55426-4702 |
| Mailing Address |
6465 Wayzata Blvd Ste 315 Minneapolis MN 55426-1728 |
| Practice Telephone | 9529935000 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
R 078430-0 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003175118 | Mary Lawrence Tyler | Social Worker | 1788 Cal Young Rd, #185, Eugene, OR 97401-7638 | 2012-05-09 |
| 1306889811 | Mary Jane Tyler | Registered Nurse | 4116 Pueblo Hts, Mount Vernon, WA 98273-8963 | 2006-06-13 |
| 1487075396 | Mary Joyce Tyler | Marriage & Family Therapist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2013-12-18 |
| 1538335369 | Mary Allison Roensch Tyler | Ophthalmology | 2377 Lenora Church Rd, Snellville, GA 30078-3232 | 2008-05-01 |
| 1780805051 | Mary E Tyler | Social Worker | 2700 Baker St, Muskegon Heights, MI 49444-2157 | 2007-05-02 |
| 1447214465 | Mary Elizabeth Tyler | Nurse Practitioner | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2006-04-14 |
| Street Address |
6500 EXCELSIOR BLVD |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861484669 | Robert E Haselow | Radiology | 6500 Excelsior Blvd, Methodist Radiation Therapy, St Louis Park, MN 55426-4702 | 2005-08-17 |
| 1215549381 | Katelyn Boys | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-08-20 |
| 1386253466 | Christine Harlander | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 | 2020-07-24 |
| 1063021210 | Ian-thomas Campbell-groen | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 | 2020-07-23 |
| 1619585387 | Kelly Faber | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-07-20 |
| 1952938821 | Paige Rygg | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-03-23 |
| 1801427406 | Brandi Jo St. Mane | Nurse Anesthetist, Certified Registered | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-02-01 |
| 1811528680 | Brian Servey IIi | Nurse Anesthetist, Certified Registered | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-01-30 |
| 1245873421 | Weston Poucher | Nurse Anesthetist, Certified Registered | 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 | 2019-10-21 |
| 1427609973 | Lauren Damrow | Registered Nurse | 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 | 2019-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134437353 | Andrea Joy Greseth | Nurse Practitioner | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2010-09-22 |
| 1538299722 | Colleen Maurer | Nurse Practitioner | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2007-03-06 |
| 1932208436 | Melissa Marie Ekholm | Nurse Practitioner | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2006-09-21 |
| 1508843509 | Cheryl Pangerl | Nurse Practitioner | 6500 Excelsior Blvd, 3w Level II Nursery, St Louis Park, MN 55426-4702 | 2005-12-30 |
| 1801873724 | Patti K Witt | Nurse Practitioner | 6500 Excelsior Blvd, Ste 3w, St Louis Park, MN 55426-4702 | 2005-12-30 |
| 1134105893 | Janette Gauger | Nurse Practitioner | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2005-12-15 |
| 1356326672 | Janet G Lindquist | Nurse Practitioner | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2005-12-09 |
| 1841273315 | Jeanne A Heppelmann | Nurse Practitioner | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346434461 | Debra L Lesslie | Nurse Practitioner | 347 North Smith Avenue, 70-505, Children's Specialty Clinic Nicu, St. Paul, MN 55102 | 2007-08-31 |
| 1568412922 | Sharron Thomson | Nurse Practitioner | Lakeview Hospital, 927 Churchill Street West, Stillwater, MN 55082 | 2006-05-10 |
| 1679541056 | Deborah J Barth | Nurse Practitioner | 3668 Pinecrest Ct, Eagan, MN 55123-1000 | 2006-03-10 |
| 1720056518 | Nicole E Riley | Nurse Practitioner | 14223 Arbre Ln N, Hugo, MN 55038-4449 | 2006-03-09 |
| 1003891144 | Tracy Suzanne Cousin | Nurse Practitioner | 1200 6th Avenue N, St Cloud, MN 56303 | 2005-12-13 |
| 1528678133 | Kathy Daniella Lopez Vasquez | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-08-07 |
| 1558970376 | Corin Mauldin | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-07-28 |
| 1912525197 | Devon Ratliff-crain | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-07-14 |
| 1891313862 | Kelli Dawn Guth | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-07-07 |
| 1225663768 | Amanda Elizabeth Olsen | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
Please comment or provide details below to improve the information on MARY ANN TYLER.
| 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.