1. Home
  2. Directory
  3. California
  4. San Rafael
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TYLER KIM HUMMEL
NPI 1558159756
Student in an Organized Health Care Education/Training Program in San Rafael, CA

Active since April 28, 2025
4020 CIVIC CENTER DR, SAN RAFAEL, CA 94903(415) 491-2525 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 31, 2026, May 27, 2025 (2 updates tracked since 2025).

About Tyler Kim Hummel NPPES

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

TYLER KIM HUMMEL (NPI 1558159756) is an individual student in an organized health care education/training program in San Rafael, California and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1558159756
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER KIM HUMMEL
Location Address4020 CIVIC CENTER DRSan Rafael, CA 94903-4173
Mailing Address4020 Civic Center DrSan Rafael, CA 94903-4173 · (415) 491-2525 · Fax (415) 444-9662
Phone(415) 491-2525
Sole ProprietorNo
Enumeration DateApril 28, 2025
Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1558159756 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.
4020 CIVIC CENTER DR, San Rafael, CA 94903
Open in Google Maps ↗

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.

ERNEST GUOMAS LMFT
Marriage & Family Therapist
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2574
DR. BRIAN DOUGLAS PHIFER
Counselor
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 758-5272
JESSICA BAILEY
Counselor
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 444-9662
KATHLEEN MARIE MORAN
Counselor
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2594
CORA DAVIS
Rehabilitation Practitioner
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2525
DUNYA GILMORE
Marriage & Family Therapist
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2540
HASAN ALY
Counselor (Mental Health)
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2584
ANGELA M STRUCKMANN
Counselor (Mental Health)
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2575

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 Hummel's NPI number?

The NPI number for Tyler Hummel is 1558159756. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Tyler Hummel located?

Tyler Hummel practices at 4020 Civic Center Dr, San Rafael, CA 94903. The listed phone number is (415) 491-2525.

What is Tyler Hummel'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 Hummel was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.