MEDICARE: TYLER JOHNSON CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	2016015074	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	277003758	OTHER	IL	FULL PRACTICE AUTHORITY APRN

General Provider Information

NPI Number	:	1710335427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER JOHNSON CNM

Provider Business Mailing Address
First Line	:	2628 E GLENWOOD ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-3422
Country	:	US
Telephone Number	:	417-860-8465
Fax Number	:

Provider Business Practice Location Address
First Line	:	2628 E GLENWOOD ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-3422
Country	:	US
Telephone Number	:	417-860-8465
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2016
Last Update Date	:	11/20/2025

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1124995048 — DR. ASPEN BRAVO HERNANDES DC
Practice Location Address:

3422 S GLENSTONE AVE UNIT H3
SPRINGFIELD, MO
65804-4412

Practice Phone: 417-216-6191
Practice Fax:

1033403977 — MR. ANINDA K CHAKRABORTY OTR/L
Practice Location Address:

3422 W ERIE ST
SPRINGFIELD, MO
65807-8254

Practice Phone: 417-766-0839
Practice Fax:

1861185431 — MARY A INGRASSIA-PAYAN ROSALES MS, PLPC
Practice Location Address:

1300 E BRADFORD PKWY BLDG B
SPRINGFIELD, MO
65804-4264

Practice Phone: 417-761-5000
Practice Fax: 417-761-5011

1457293912 — SHELBY DARLENE MURPHY PHARMD
Practice Location Address:

3050 S NATIONAL AVE
SPRINGFIELD, MO
65804-4242

Practice Phone: 417-881-8822
Practice Fax:

1023906500 — CARLEY M HORNETT LMSW
Practice Location Address:

1300 E BRADFORD PKWY
SPRINGFIELD, MO
65804-4264

Practice Phone: 417-761-5000
Practice Fax:

Directions to “ TYLER JOHNSON CNM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.