TYLER DANIELS
NPI 1558065474
Student in an Organized Health Care Education/Training Program in Pueblo, CO

Q: What is Tyler Daniels's NPI number?

The NPI number for Tyler Daniels is 1558065474. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Tyler Daniels's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Daniels was last updated on May 9, 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.

Active since March 27, 2023PECOS Enrolled

902 LAKEVIEW AVE, PUEBLO, CO 81004(719) 557-5855 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2023, Mar 27, 2023 (2 updates tracked since 2023).

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About Tyler Daniels NPPES

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

TYLER DANIELS (NPI 1558065474) is an individual student in an organized health care education/training program in Pueblo, Colorado and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558065474

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTYLER DANIELS

Location Address902 LAKEVIEW AVEPueblo, CO 81004-3597

Mailing Address902 Lakeview AvePueblo, CO 81004-3597

Phone(719) 557-5855

Sole ProprietorNo

Enumeration DateMarch 27, 2023

Last NPPES UpdateMay 9, 20232 updates tracked since enumeration

NPPES CertifiedMay 9, 2023

✔ NPI 1558065474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License TL.0009592 (CO)

902 LAKEVIEW AVE, Pueblo, CO 81004

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Daniels is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. CAMILA TERESA ROBLES DO

Family Medicine