What is Tyler Etherton's NPI number?

Tyler Etherton's National Provider Identifier (NPI) is 1306620125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tyler Etherton's specialty?

Tyler Etherton is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Tyler Etherton located?

Tyler Etherton's practice location on file with NPPES is 3125 Myers St, Riverside, CA 92503-5527.

What is Tyler Etherton's phone number?

The practice phone number listed in the NPPES registry for Tyler Etherton is (951) 358-6462.

Is Tyler Etherton's NPI active?

Yes — Tyler Etherton's NPI (1306620125) is active in the NPPES registry as of the last update on 2024-01-16.

IndividualActive

Tyler Etherton

NPI 1306620125 · Peer Specialist · Riverside, CA

Tyler Etherton is a Peer Specialist provider in Riverside, CA (NPI 1306620125).

Provider details

NPI number: 1306620125
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers
Community Health Worker172V00000X
Other Service Providers

Profile Score

Established profile(51/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3125 Myers St

Riverside, CA 92503-5527

Phone: (951) 358-6462

Street-level locationGet directions

More CA providers

Mailing address