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

Tyler Grant, RN

Individual provider Registered Nurse · NPI 1003534694

Tyler Grant, RN is a Certified Registered Nurse Anesthetist (CRNA) in Syracuse, New York. Qualified in 2023, 3 years ago. Practices with St Joseph's Physician Health PC, a 124-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

301 Prospect Ave
Syracuse, NY 13203-1807
Phone: (315) 448-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16 Sheridan Ave Apt 424, Albany, NY 12210-2768 — (518) 569-1154

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 688131 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 688131 (NY)

Record details

NPI number1003534694
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing address1305 Walt Whitman Rd Ste 300, Melville, NY 11747-4300

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice St Joseph'S Physician Health Pc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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