ANTANISSHA TYLER
NPI 1154994879
Marriage & Family Therapist in Redondo Beach, CA
About Antanissha Tyler NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTANISSHA TYLER (NPI 1154994879) is an individual marriage & family therapist in Redondo Beach, California, licensed in California (117223) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Antanissha Tyler is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Antanissha Tyler's NPI number?
The NPI number for Antanissha Tyler is 1154994879. It was assigned to this individual provider in the NPPES registry on July 20, 2021.
Where is Antanissha Tyler located?
Antanissha Tyler practices at 1200 Aviation Blvd, Redondo Beach, CA 90278. The listed phone number is (310) 376-2468.
What is Antanissha Tyler's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Antanissha Tyler enrolled in Medicare?
Yes. Antanissha Tyler is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Antanissha Tyler was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Antanissha Tyler · NPI 1154994879
Marriage & Family Therapist provider in Redondo Beach, California. Individual provider, active in the CMS NPPES registry since July 20, 2021.
## Identity
- **NPI:** 1154994879 (Entity type: Individual)
- **Enumerated:** July 20, 2021
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 117223 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 AVIATION BLVD, Redondo Beach, CA 90278-4064
- **Phone:** (310) 376-2468
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1154994879) · Data from the CMS NPPES public registry.