MS. INGRID MARIA TYSON MS FNP
NPI 1952354839
Nurse Practitioner - Family in Bandon, OR

Active since May 19, 2006
780 2ND ST SE, BANDON, OR 97411(541) 347-2529(541) 347-9196 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 7, 2023, Nov 10, 2015 (2 updates tracked since 2015).

About Ms. Ingrid Maria Tyson Ms Fnp NPPES

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

MS. INGRID MARIA TYSON MS FNP (NPI 1952354839) is an individual family provider in Bandon, Oregon, licensed in New Mexico (CNP02197) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1952354839
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. INGRID MARIA TYSONCredential: MS FNP
Location Address780 2ND ST SEBandon, OR 97411-8354
Mailing Address130 Principe De PazSanta Fe, NM 87508-9211 · (505) 780-5425
Fax(541) 347-9196
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1952354839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NM · CNP02197
780 2ND ST SE, Bandon, OR 97411

Other Identifiers 2

Medicaid273956OR
Other120353OR · Medicare Group Pin

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 Ingrid Tyson's NPI number?

The NPI number for Ingrid Tyson is 1952354839. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Ingrid Tyson located?

Ingrid Tyson practices at 780 2nd St SE, Bandon, OR 97411. The listed phone number is (541) 347-2529.

What is Ingrid Tyson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ingrid Tyson was last updated on March 7, 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.