MEDICARE: TYRA BYRD

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	171M00000X	Case Manager/Care Coordinator		OH

General Provider Information

NPI Number	:	1841142288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYRA BYRD

Provider Business Mailing Address
First Line	:	11201 SHAKER BLVD STE 308
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-3871
Country	:	US
Telephone Number	:	440-752-7810
Fax Number	:	216-516-0483

Provider Business Practice Location Address
First Line	:	11201 SHAKER BLVD STE 308
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-3871
Country	:	US
Telephone Number	:	440-752-7810
Fax Number	:	216-516-0483

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ TYRA BYRD ” Practice Location

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