RASHEDA JUANDRELL TYSON


Address: 2702 Massachusetts Ave Apt 185, Pensacola, FL 32505-3475
Phone: 8503827803

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NONE 0827 01

Office Location

Street Address 2702 MASSACHUSETTS AVE APT 185
City PENSACOLA
State FL
Zip Code 32505-3475

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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
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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City PENSACOLA
Zip Code 32505

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Dataset Information

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.

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