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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

TYLER MINNICH
NPI 1174443030
Student in an Organized Health Care Education/Training Program in Fort Wayne, IN

Active since July 20, 2026
2101 E COLISEUM BLVD, FORT WAYNE, IN 46805(260) 257-6831 Get Directions Write a Review

NPPES record added: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyler Minnich NPPES

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

TYLER MINNICH (NPI 1174443030) is an individual student in an organized health care education/training program in Fort Wayne, Indiana and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1174443030
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER MINNICH
Location Address2101 E COLISEUM BLVDFort Wayne, IN 46805-1445
Mailing Address15635 Feighner RdRoanoke, IN 46783-8701 · (260) 530-6630
Phone(260) 257-6831
Sole ProprietorNo
Enumeration DateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
✔ NPI 1174443030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.

2101 E COLISEUM BLVD, Fort Wayne, IN 46805
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Other Providers at the Same Location NPPES 18

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

NATNAEL SOLOMON
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (702) 969-2889
MINDY JOY YODER N.P.
Nurse Practitioner
2101 E COLISEUM BLVD, WALB 234
FORT WAYNE, IN 46805
Allen County (260) 481-5748
ANJALI NATARAJAN MD
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 257-6831
NATHAN ALBRIGHT
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 257-6831
LEO J CORRAL LAT, ATC
Specialist/Technologist (Athletic Trainer)
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-6656
PURDUE UNIVERSITY
Nurse Practitioner (Gerontology)
2101 E COLISEUM BLVD, WU 234
FORT WAYNE, IN 46805
Allen County (260) 481-0400
TYRA KARMELLE GRISCHKE
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 257-6831
ALEXANDER BUCHANAN
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 257-6831

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 Minnich's NPI number?

The NPI number for Tyler Minnich is 1174443030. It was assigned to this individual provider in the NPPES registry on July 20, 2026.

Where is Tyler Minnich located?

Tyler Minnich practices at 2101 E Coliseum Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 257-6831.

What is Tyler Minnich'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 Minnich was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.