MR. TYLER JOSEPH ALICKS APRN NPI 1063695013

NPI Information

NPI: 1063695013
Provider Name: MR. TYLER JOSEPH ALICKS, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1633 FILLMORE ST STE GL1
DENVER, CO
ZIP 80206
Phone: (303) 953-6600
Get Directions

MR. Tyler Joseph Alicks, APRN is an adult health nurse practitioner in Denver, CO. MR. Tyler Joseph Alicks, APRN NPI is 1063695013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1633 FILLMORE ST STE GL1
DENVER, CO
ZIP 80206-546
Phone: (303) 953-6600
Fax: (303) 781-4333

The NPI 1063695013 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2007 and was last updated on 2/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3259	SOUTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	LB-0000216	DELAWARE	No
3	363LA2200X	Nurse Practitioner	Adult Health	APN.0990909-NP	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7124	OTHER	SOUTH CAROLINA	MEDICARE ID- TYPE UNSPECI
2	AA2408	MEDICARE UPIN	SOUTH CAROLINA
3	372048	MEDICAID	SOUTH CAROLINA
4	AA24087124	MEDICARE PIN	SOUTH CAROLINA
5	421866	MEDICARE OSCAR/CERTIFICATION	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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