RASHEDA JUANDRELL TYSON (NPI# 1093337958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093337958 |
Entity Type | Individual |
Full Name | RASHEDA JUANDRELL TYSON |
Practice Address |
2702 Massachusetts Ave Apt 185 Pensacola FL 32505-3475 |
Practice Telephone | 8503827803 |
Mailing Telephone | 8503827803 |
Enumeration Date | 2020-05-14 |
Last Update Date | 2020-05-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
CL1275593 | FL | Other Service Providers |
Y | 224P00000X | Prosthetist | CL1275593 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NONE | 0827 | 01 |
Street Address |
2702 MASSACHUSETTS AVE APT 185 |
City | PENSACOLA |
State | FL |
Zip Code | 32505-3475 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881203610 | Tekisha S Steele | Homemaker | 4503 Lemoyne Lane, Pensacola, FL 32505 | 2020-07-28 |
1225491269 | Darren Hohaus | Counselor | Florida Therapy Services, Inc., 6520 N. Pensacola Blvd., Office Park North, 2nd Building, Pensacola, FL 32505 | 2016-03-29 |
1881933091 | Elizabeth Anne Cremeans | Occupational Therapist | 325 W. Airport Blvd, Pensacola, FL 32505 | 2013-02-07 |
1134488596 | Daniel L Christensen | Orthopaedic Surgery | 6000 N W St # Us-98, Pensacola, FL 32505 | 2012-05-04 |
1447553128 | Stern Family Chiropractic, LLC | Chiropractor | 5505 North W Street, Pensacola, FL 32505 | 2010-12-17 |
1427270610 | Communnity Drug and Alcohol Council, Inc. | Community/Behavioral Health | 3804 North 9th Ave., Pensacola, FL 32505 | 2007-05-03 |
1497809594 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6810 N. Davis Highway, Pensacola, FL 32505 | 2007-01-23 |
1578658308 | James J Adams | Pharmacist | 5975 Mobile Highway, Pensacola, FL 32505 | 2006-10-04 |
1396838090 | Lieng Kim Du | General Practice | 907 North U Street, Pensacola, FL 32505 | 2006-10-02 |
1730280769 | Charles Edward Campbell IIi | Dentist | 151 W Airport Blvd, Pensacola, FL 32505 | 2006-09-25 |
Find all providers in zip 32505 |
Taxonomy Code | 224P00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Prosthetist |
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831796275 | Mireille Alexis | Prosthetist | 4376 Fl-7, Coral Springs, FL 33073 | 2020-10-08 |
1588279434 | Kourtney James | Prosthetist | 715 Lori Dr Apt 304, Palm Springs, FL 33461-7104 | 2020-09-08 |
1750910790 | Gabriela Jamur | Prosthetist | 11308 Bonita Beach Rd Se Ste 105-a, Bonita Springs, FL 34135-5912 | 2020-04-02 |
1013543701 | Kateau Cerisme | Prosthetist | 320 N Magnolia Ave, Orlando, FL 32801-1624 | 2020-03-13 |
1780217174 | Amber Baker | Prosthetist | 1340 Naples Cir Apt 309, Rockledge, FL 32955-2577 | 2020-02-13 |
1992336192 | Antakeisha Lavonte Hepburn | Prosthetist | 2326 Nw 51st St, Miami, FL 33142-3677 | 2020-01-28 |
1164067211 | Rayna K Bradley | Prosthetist | 148 Lake Ave, Maitland, FL 32751-6424 | 2019-11-13 |
1376001982 | Kerryann Williams | Prosthetist | 6515 Nw 1st St, Margate, FL 33063-5101 | 2019-03-04 |
1528526126 | Latoya Patrick | Prosthetist | 11361 Sheffield Rd, Spring Hill, FL 34608-2260 | 2019-03-04 |
1275091878 | Debbie Denizard | Prosthetist | 9560 Lem Turner Rd, Jacksonville, FL 32208-7501 | 2019-03-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.