MR. TYLER JOE FADORSEN


Address: 245 Governors Dr Se, Huntsville, AL 35801-2700
Phone: 2562659889

MR. TYLER JOE FADORSEN (NPI# 1912518861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912518861
Entity Type Individual
Full Name MR. TYLER JOE FADORSEN
Credential CRNP
Practice Address 245 Governors Dr Se
Huntsville
AL 35801-2700
Mailing Address 5053 Montauk Trl Se
Owens Cross Roads
AL 35763-8795
Practice Telephone 2562659889
Mailing Telephone 2564263990
Enumeration Date 2020-08-13
Last Update Date 2020-10-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
1-145198 AL Physician Assistants & Advanced Practice Nursing Providers
N 363LP0222X Nurse Practitioner
Specialization: Pediatrics, Critical Care
1-145198 AL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2785 Carl T Jones Dr Se Ste C, Huntsville, AL 358024947 2567243587

Office Location

Street Address 245 GOVERNORS DR SE
City HUNTSVILLE
State AL
Zip Code 35801-2700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366435398 Wilfredo I Vergara Pediatrics 245 Governors Dr Se, Huntsville, AL 35801-2700 2005-08-24
1184234676 Brianna Michelle Moultrie Registered Nurse 245 Governors Dr Se, Huntsville, AL 35801-2700 2020-08-09
1518583996 Laura Beth Rouse Nurse Anesthetist, Certified Registered 245 Governors Dr Se, Huntsville, AL 35801-2700 2020-06-22
1528687035 Jamie Hunter Registered Nurse 245 Governors Dr Se, Huntsville, AL 35801-2700 2020-04-14
1366077562 Santrice Pleasant Pediatrics 245 Governors Dr Se, Huntsville, AL 35801-2700 2020-03-08
1255964425 Sarah Heimsness Davis Nurse Practitioner 245 Governors Dr Se, Huntsville, AL 35801-2700 2020-02-17
1750914065 Jeanette Olivia Craven Registered Nurse 245 Governors Dr Se, Huntsville, AL 35801-2700 2020-02-14
1356989784 Amy Hall Nurse Practitioner 245 Governors Dr Se, Huntsville, AL 35801-2700 2019-12-17
1578109781 Lauren Anne Higginbotham Registered Nurse 245 Governors Dr Se, Huntsville, AL 35801-2700 2019-11-22
1205489986 Jessica Stroud Nurse Practitioner 245 Governors Dr Se, Huntsville, AL 35801-2700 2019-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003422742 Elena Mihaela Kruse Nurse Practitioner 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 2020-09-18
1225657661 Ashley Danielle Ford Student in an Organized Health Care Education/Training Program 301 Governors Drive Se, Huntsville, AL 35801 2020-04-15
1407417702 Sasha J White Specialist 410 Governors Dr. Sw, Huntsville, AL 35801 2019-06-26
1003472978 Gina Marie Delgado Nurse Practitioner Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 2019-05-15
1366909863 Lisa Starkey Suggs Nurse Practitioner 3500 Memorial Parkway S.w., Huntsville, AL 35801 2019-02-21
1902373277 Kelly S Fisher LLC Counselor 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 2018-10-25
1073097911 Brittani B Hamrick Psychologist 203 Eastside Sq Ste C9, Huntsville, AL 35801 2018-09-17
1548748312 Jane O. Orton, Licsw, LLC Social Worker 120 Holmes Ave Ne, Huntsville, AL 35801 2018-08-02
1184100661 Regroup Psychological Services Psychologist 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 2018-07-17
1366968398 Bennett Brent Smith Physician Assistant 825 Adams St. Se, Huntsville, AL 35801 2017-08-22
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831722289 Tiffany Garrett Nurse Practitioner 333 Whitesport Dr Sw Ste 104, Huntsville, AL 35801-3455 2020-02-13
1386984474 Steadman Lee Mcpeters Nurse Practitioner 813 Franklin St., Ste B, Huntsville, AL 35801-4311 2013-02-26
1720216906 Kellie Coplin Anderson Nurse Practitioner 401 Lowell Dr Se Ste 5, Huntsville, AL 35801 2009-06-26
1609070424 Elizabeth Anne Wessel Nurse Practitioner 2006 Franklin St Se Ste 107, Huntsville, AL 35801-4537 2007-06-14
1972104479 Elizabeth Rose Gray Nurse Practitioner 101 Sivley Rd Sw, Huntsville, AL 35801-4470 2020-11-03
1023652625 Maura Owens Galvez Nurse Practitioner 101 Sivley Rd Sw, Huntsville, AL 35801-4470 2019-11-06
1053954958 Natalie Burleson Nurse Practitioner 813 Franklin St Se, Huntsville, AL 35801-4311 2019-10-23
1205489986 Jessica Stroud Nurse Practitioner 245 Governors Dr Se, Huntsville, AL 35801-2700 2019-07-22
1801456470 Haley Briana Smith Nurse Practitioner 101 Sivley Rd Sw, Huntsville, AL 35801-4470 2019-06-17
1407333644 Lauren Abbe Gulledge Nurse Practitioner 502 Governors Dr Sw, Huntsville, AL 35801-5126 2018-07-20
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Competitor

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City HUNTSVILLE
Zip Code 35801

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Dataset Information

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.

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