WALTER M TYSON (NPI# 1104935758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104935758 |
| Entity Type | Individual |
| Full Name | WALTER M TYSON |
| Other Name | NO OTHER NAME |
| Practice Address |
150 Debra Rd Chattanooga TN 37411-5616 |
| Mailing Address |
802 Brynewood Park Ln Chattanooga TN 37415-2305 |
| Practice Telephone | 4238936500 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
TN | Behavioral Health & Social Service Providers |
| Street Address |
150 DEBRA RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37411-5616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417923293 | Jon H Risley | Family Medicine | 150 Debra Rd, Chattanooga, TN 37411-5616 | 2006-02-23 |
| 1598175630 | Belinda Cathey Powers | Social Worker | 150 Debra Rd, Suite 5200, Chattanooga, TN 37411-5616 | 2014-04-29 |
| 1952561508 | Martha Westbrook | Counselor | 150 Debra Rd, Chattanooga, TN 37411-5616 | 2008-06-16 |
| 1134319536 | George P. Bentley | Social Worker | 150 Debra Rd, 6200 Building, Chattanooga, TN 37411-5616 | 2007-07-31 |
| 1548344278 | Thomas E Moses | Surgery | 150 Debra Rd, Chattanooga, TN 37411-5616 | 2006-10-25 |
| 1093736837 | Calvin Lee Calhoun Jr. | Internal Medicine | 150 Debra Rd, Building 6200, Suite 5200, Chattanooga, TN 37411-5616 | 2006-07-21 |
| 1578583464 | Thelma Lee Chan | Pharmacist | 150 Debra Rd, Chattanooga, TN 37411-5616 | 2006-07-20 |
| 1154341873 | Lawrence W. High Jr. | Internal Medicine | 150 Debra Rd, Building 6200, Suite 5200, Chattanooga, TN 37411-5616 | 2006-07-19 |
| 1568482180 | Donald A Marks | Internal Medicine | 150 Debra Rd, Chattanooga, TN 37411-5616 | 2006-07-19 |
| 1124045067 | Zenaida S Fox | Nurse Practitioner | 150 Debra Rd, 6200 Bldg, Suite 5200, Chattanooga, TN 37411-5616 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811520620 | Winzetta Jenkins | Social Worker | 5705 Uptain Rd., Chattanooga, TN 37411 | 2020-02-20 |
| 1881156651 | Valerie L Radu | Social Worker | 5800 Uptain Road, Suite 1200, Chattanooga, TN 37411 | 2019-04-02 |
| 1568986693 | Solution Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 4707 North Terrace, Chattanooga, TN 37411 | 2017-07-31 |
| 1689060733 | Nirlepkumar Patel | Pharmacist | 3602 Brainerd Road, Chattanooga, TN 37411 | 2015-04-15 |
| 1669896254 | Audra Valentaviciene | Nurse Practitioner | 5618 Brainerd Road, Chattanooga, TN 37411 | 2014-02-18 |
| 1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
| 1417210071 | Jason Owen Blair | Physical Therapy Assistant | 5779 Brainard Rd, Chattanooga, TN 37411 | 2012-06-19 |
| 1447532270 | Masons and Daughter LLC | Non-emergency Medical Transport (VAN) | 7 North Tuxedo Ave, Chattanooga, TN 37411 | 2011-09-19 |
| 1841500386 | Pamela Denise Stultz | Physical Therapy Assistant | 3207 Rosemont Drive, Chattanooga, TN 37411 | 2010-10-18 |
| 1689803843 | Pauline Evans | Occupational Therapy Assistant | 1557 Pin Oak Dr, Chattanooga, TN 37411 | 2009-07-09 |
| Find all providers in zip 37411 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174917843 | Jan Carlton Collum | Counselor | 6148 Lee Hwy Ste 208, C/o Bernard & Associates, PC; One Park Place, Chattanooga, TN 37421-2994 | 2015-03-20 |
| 1821332818 | William Hoyt Daniel Sr. | Counselor | 3661 Brainerd Rd, Suite 304, Chattanooga, TN 37411-3695 | 2012-11-15 |
| 1770768236 | Richard J. Swistek | Counselor | 1401 Williams St, Suite 206, Chattanooga, TN 37408-1101 | 2008-01-03 |
| 1508089681 | Adam David Arsenault | Counselor | 100 Cherokee Blvd Ste 301, Chattanooga, TN 37405-3886 | 2007-04-10 |
| 1639218753 | John L Morrison | Counselor | 1800 Mc Callie Avenue, Chattanooga, TN 37404-3025 | 2007-02-05 |
| 1598767444 | Christopher D Prater | Counselor | 105 Lee Parkway Dr, Suite A, Chattanooga, TN 37421-6708 | 2005-08-11 |
| 1861001943 | Sarah Lynne Davis | Counselor | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2020-07-24 |
| 1548893100 | Cressie Tambling | Counselor | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2020-02-21 |
| 1134752702 | Linda Leverett | Counselor | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2020-02-21 |
| 1033754668 | Michelle Rhea Gudger | Counselor | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-11-07 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37411 |
Please comment or provide details below to improve the information on WALTER M TYSON.
| 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.