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

Mr. Tyson Runako Anderson, MPH, MSN, AGNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1619427390

Mr. Tyson Runako Anderson, MPH, MSN, AGNP-C is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2016, 10 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia.

Years since qualifying
10
Licensed in
DC
In the registry since
2016
What do these letters mean?
MPH — Master of Public Health
A graduate degree in population health.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

3636 Georgia Ave NW
Washington, DC 20010-1646
Phone: (202) 446-1100
Fax: (202) 204-0806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 6th Ave S, Birmingham, AL 35233-1502 — (205) 930-1530

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 210126497 (DC)

Record details

NPI number1619427390
Entity typeIndividual (Type 1)
GenderMale
Credentials MPH , MSN , AGNP-C
Sole proprietorNo
NPI enumeratedOctober 6, 2016
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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