TYLER DIVIS
NPI 1043999105
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since July 17, 2023
1001 SHADOW LN, LAS VEGAS, NV 89106(562) 292-6409 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyler Divis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER DIVIS (NPI 1043999105) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1043999105
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER DIVIS
Location Address1001 SHADOW LNLas Vegas, NV 89106-4124
Mailing Address1001 Shadow LnLas Vegas, NV 89106-4124
Sole ProprietorYes
Enumeration DateJuly 17, 2023
NPPES CertifiedJuly 16, 2023
NPI 1043999105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

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.

1001 SHADOW LN, Las Vegas, NV 89106

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Dentist (General Practice)
1001 SHADOW LN
LAS VEGAS, NV 89106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Divis's NPI number?

The NPI number for Tyler Divis is 1043999105. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Tyler Divis located?

Tyler Divis practices at 1001 Shadow Ln, Las Vegas, NV 89106. The listed phone number is (562) 292-6409.

What is Tyler Divis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tyler Divis was last updated on July 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.