Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lateasa Tyler, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1366319469

Lateasa Tyler, NURSEPRACTITIONER is a Nurse Practitioner in Carmel, Indiana. Qualified in 2025, 1 year ago. Practices with Lifespan Advanced Care LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025

Practice location Address checks out

118 Medical Dr
Carmel, IN 46032-3323
Phone: (317) 844-4211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 28196273A (IN)

Record details

NPI number1366319469
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 22, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lifespan Advanced Care Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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