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TYLER AUSTIN WILLIS RN
NPI 1205663069
Registered Nurse - Critical Care Medicine in Bellevue, WA

Active since September 16, 2024
3000 LANDERHOLM CIR SE, BELLEVUE, WA 98007(425) 466-3781 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Austin Willis Rn NPPES

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

TYLER AUSTIN WILLIS RN (NPI 1205663069) is an individual critical care medicine provider in Bellevue, Washington, licensed in Washington (RN61080655) and active in the NPI registry since September 2024. He maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1205663069
Entity TypeIndividualMale
Primary Taxonomy163WC0200X
Provider Legal NameTYLER AUSTIN WILLISCredential: RN
Location Address3000 LANDERHOLM CIR SEBellevue, WA 98007-6484
Mailing Address11453 69th Pl SSeattle, WA 98178-3002 · (425) 466-3781
Phone(425) 466-3781
Sole ProprietorYes
Enumeration DateSeptember 16, 2024
NPPES CertifiedSeptember 16, 2024
✔ NPI 1205663069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in WA · RN61080655
Also ListedClinical Nurse Specialist · Acute CareTaxonomy 364SA2100X · License RN61080655 (WA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RN61080655 (WA)
3000 LANDERHOLM CIR SE, Bellevue, WA 98007
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Secondary Practice Location 1

Location 111453 69th Pl SSeattle, WA 98178-3002 · Phone (425) 466-3781

Other Providers at the Same Location NPPES 2

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

ANNA DOLGUSHINA LMHC-A
Counselor (Mental Health)
3000 LANDERHOLM CIR SE
BELLEVUE, WA 98007
King County (425) 564-5747
JANET DELGADO MCINTERPRETER
Interpreter
3000 LANDERHOLM CIR SE
BELLEVUE, WA 98007
King County (206) 945-9515

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 Willis's NPI number?

The NPI number for Tyler Willis is 1205663069. It was assigned to this individual provider in the NPPES registry on September 16, 2024.

Where is Tyler Willis located?

Tyler Willis practices at 3000 Landerholm Cir SE, Bellevue, WA 98007. The listed phone number is (425) 466-3781.

What is Tyler Willis's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

When was this NPI record last updated?

The NPPES record for Tyler Willis was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.