TYRA LOUISE ANDERSON
NPI 1417448432
Specialist in East Point, GA

Q: What is Tyra Anderson's NPI number?

The NPI number for Tyra Anderson is 1417448432. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Q: What is Tyra Anderson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Tyra Anderson was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 24, 2018

1514 CLEVELAND AVE STE 103-5, EAST POINT, GA 30344(770) 256-7221 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2018, May 24, 2018 (2 updates tracked since 2018).

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About Tyra Louise Anderson NPPES

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

TYRA LOUISE ANDERSON (NPI 1417448432) is an individual specialist in East Point, Georgia, licensed in Georgia (1744P3200X) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1417448432

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameTYRA LOUISE ANDERSON

Location Address1514 CLEVELAND AVE STE 103-5East Point, GA 30344-6965

Mailing Address858 Amberwood WayForest Park, GA 30297-4256 · (770) 256-7221

Phone(770) 256-7221

Sole ProprietorYes

Enumeration DateMay 24, 2018

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1417448432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · 1744P3200X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1514 CLEVELAND AVE STE 103-5, East Point, GA 30344

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Other Identifiers 1

Other825455207GA · Department Of Treasury Internal Revenue Service

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 Anderson's NPI number?

The NPI number for Tyra Anderson is 1417448432. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Where is Tyra Anderson located?

Tyra Anderson practices at 1514 Cleveland Ave Ste 103-5, East Point, GA 30344. The listed phone number is (770) 256-7221.

What is Tyra Anderson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tyra Anderson was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.