Loren Anne Ray Tyson, NURSE PRACTITIONER
NPI 1295724276ActiveIndividual· Nurse Practitioner· Fairfax, VA
Nurse Practitioner (NURSE PRACTITIONER) in Fairfax, Virginia, licensed in VA and NJ, with an NPI issued in October 2005. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner.
Overview
| NPI | 1295724276 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NURSE PRACTITIONER |
| Sole proprietor | No |
| NPI issued | Oct 21, 2005 |
| Last updated in NPPES | Apr 3, 2026 |
| Certified by provider | Apr 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 0024170891 | VA |
| Nurse Practitioner, Adult Health | 363LA2200X | 0024170891 | VA |
| Nurse Practitioner, Adult Health | 363LA2200X | 26NJ00060800 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (DC); Practitioner - Nurse Practitioner (VA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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