TYRA MARIE HALVERSON RD
NPI 1073892295
Dietitian, Registered in Tacoma, WA

Q: What is Tyra Halverson's NPI number?

The NPI number for Tyra Halverson is 1073892295. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Q: What is Tyra Halverson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyra Halverson was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 04, 2011

311 S L ST, TACOMA, WA 98405(253) 403-3131 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Tyra Marie Halverson Rd NPPES

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

TYRA MARIE HALVERSON RD (NPI 1073892295) is an individual dietitian, registered in Tacoma, Washington and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1073892295

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameTYRA MARIE HALVERSONCredential: RD

Location Address311 S L STTacoma, WA 98405-3720

Mailing Address311 S L StTacoma, WA 98405-3720 · (253) 403-3131

Phone(253) 403-3131

Sole ProprietorNo

Enumeration DateAugust 4, 2011

✔ NPI 1073892295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Also ListedNutritionistTaxonomy 133N00000X

Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X

Also ListedDietitian, Registered · Nutrition, PediatricTaxonomy 133VN1004X

311 S L ST, Tacoma, WA 98405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyra Marie Halverson Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Tyra Halverson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multicare Health System

Same address

Pediatrics

311 S L ST
Tacoma, WA 98405

Reassigned Medicare billing, Washington enrollment
4,383 clinicians in this Medicare group

NPI 1033162383 (253) 403-1444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

BRADLEY STANTON HOOD M.D.

Pediatrics (Developmental - Behavioral Pediatrics)

311 S L ST
TACOMA, WA 98405

Pierce County (253) 403-1540

BARBARA KERRONE R.D., C.D.

Dietitian, Registered (Nutrition, Pediatric)

311 S L ST, MAILSTOP 311-W3-GI
TACOMA, WA 98405

Pierce County (253) 403-4581

SHAWN M JOHNSON

Speech-Language Pathologist

311 S L ST
TACOMA, WA 98405

Pierce County (253) 403-1040

MULTICARE HEALTH SYSTEM

Pediatrics

311 S L ST
TACOMA, WA 98405

Pierce County (253) 403-1444

VANESSA PINEROS TOLBERT MD

Pediatrics (Pediatric Hematology-Oncology)

311 S L ST
TACOMA, WA 98405

Pierce County (253) 403-3481

JULIE M SIMON

Genetic Counselor, MS

311 S L ST
TACOMA, WA 98405

Pierce County (253) 403-3473

ERIN MICHELE LIND C.D., R.D.

Dietitian, Registered (Nutrition, Pediatric)

311 S L ST
TACOMA, WA 98405

Pierce County (253) 403-4528

DENISE QUINN PARRA DNP, ARNP

Nurse Practitioner (Pediatrics)

311 S L ST
TACOMA, WA 98405

Pierce County (800) 552-1419

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 Tyra Halverson's NPI number?

The NPI number for Tyra Halverson is 1073892295. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Tyra Halverson located?

Tyra Halverson practices at 311 S L St, Tacoma, WA 98405. The listed phone number is (253) 403-3131.

What is Tyra Halverson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Tyra Halverson enrolled in Medicare?

Yes. Tyra Halverson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tyra Halverson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyra Halverson reassigns Medicare benefits to Multicare Health System (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyra Halverson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyra Halverson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Tyra Halverson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyra Halverson was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.