TYLER LEE VERNON DO
NPI 1558065094
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 29, 2023
10122 E 10TH ST STE 100, INDIANAPOLIS, IN 46229(317) 355-5717 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2023, Mar 29, 2023 (2 updates tracked since 2023).

About Tyler Lee Vernon Do NPPES

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

TYLER LEE VERNON DO (NPI 1558065094) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11023099A) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1558065094
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER LEE VERNONCredential: DO
Location Address10122 E 10TH ST STE 100Indianapolis, IN 46229-2697
Mailing Address10122 E 10th St Ste 100Indianapolis, IN 46229-2697 · (317) 355-5717
Sole ProprietorNo
Enumeration DateMarch 29, 2023
Last NPPES UpdateJune 14, 20232 updates tracked since enumeration
NPPES CertifiedJune 14, 2023
NPI 1558065094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in IN · 11023099A
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.
10122 E 10TH ST STE 100, Indianapolis, IN 46229

Other Identifiers 1

Medicaid300076260IN

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.

Nurse Practitioner (Family)
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Social Worker (Clinical)
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Family Medicine
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Family Medicine
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229

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 Vernon's NPI number?

The NPI number for Tyler Vernon is 1558065094. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Tyler Vernon located?

Tyler Vernon practices at 10122 E 10th St Ste 100, Indianapolis, IN 46229. The listed phone number is (317) 355-5717.

What is Tyler Vernon'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 Vernon was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.