TYSHEANA PETERSON (NPI# 1154930527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154930527 |
| Entity Type | Individual |
| Full Name | TYSHEANA PETERSON |
| Practice Address |
6717 Southern Oaks Dr Jacksonville FL 32244-3675 |
| Practice Telephone | 9045755082 |
| Mailing Telephone | 9045755082 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | 236899 | FL | Nursing Service Related Providers |
| Street Address |
6717 SOUTHERN OAKS DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32244-3675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013478247 | Saul Medina | Contractor | 8421 Cheswick Oak Ave, Jacksonville, FL 32244 | 2019-03-29 |
| 1447765748 | Sudduth Vision Pllc | Optometrist | 8000 Parramore Rd., Jacksonville, FL 32244 | 2017-12-08 |
| 1144735556 | Costco Wholesale Corporation | Pharmacy | 8000 Parramore Rd, Jacksonville, FL 32244 | 2017-12-07 |
| 1003287814 | South Jacksonville Dental Pllc | Dentist | 8440 Blanding Blvd, Jacksonville, FL 32244 | 2015-10-20 |
| 1326444340 | Laurie Lynn Scheid | Nurse Practitioner | 7855 Argyle Forest Blvd Ste 601, Jacksonville, FL 32244 | 2014-11-18 |
| 1114322260 | Candy Sharon Lucero | Occupational Therapist | 8563-2 Argyle Business Loop, Jacksonville, FL 32244 | 2014-10-31 |
| 1780959817 | Senior Helpers | In Home Supportive Care | 6327 Argyle Forest Blvd, Suite 3, Jacksonville, FL 32244 | 2012-03-22 |
| 1093831505 | Eduardo R Paat Sr. | Marriage & Family Therapist | 63394 Argyle Forest Blvd, Jacksonville, FL 32244 | 2007-03-22 |
| 1760524060 | Lauren Claxton Shivers | Nurse Practitioner | 8351 Westport Road, Jacksonville, FL 32244 | 2007-02-13 |
| 1427113968 | John F Bibb | Dentist | 6001 4 Argyle Forest Blvd, Jacksonville, FL 32244 | 2006-12-26 |
| Find all providers in zip 32244 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572981 | La'toya Renee Jones | Homemaker | 2138 Wiley Oaks Ln, Jacksonville, FL 32210-2692 | 2020-09-12 |
| 1346855939 | Tina Sines | Homemaker | 1214 Labelle St Apt 159, Jacksonville, FL 32205-6975 | 2020-09-10 |
| 1437761830 | Johanna I Gates | Homemaker | 15379 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2020-08-18 |
| 1659983203 | Paula Ravnell | Homemaker | 7707 Merrill Rd Ste 11965, Jacksonville, FL 32277-3714 | 2020-08-17 |
| 1790395267 | Paris Toins | Homemaker | 1728 Keats Rd, Jacksonville, FL 32208-3122 | 2020-08-08 |
| 1932719333 | G.a.c. Support Services, LLC | Homemaker | 6532 Gentle Oaks Dr S, Jacksonville, FL 32244-3660 | 2020-07-31 |
| 1336757475 | Jessica G Wright | Homemaker | 439 W 26th St, Jacksonville, FL 32206-1923 | 2020-07-15 |
| 1689292526 | Kedisha Mauraine Goldsmith | Homemaker | 6088 Davon St, Jacksonville, FL 32244-3178 | 2020-07-07 |
| 1982221099 | Sandrika Powell | Homemaker | 5620 Collins Rd Apt 302, Jacksonville, FL 32244-6910 | 2020-07-06 |
| 1710504584 | Leronda Byrd-saunders | Homemaker | 1712 W. 10th Street, Jacksonville, FL 32209-5420 | 2020-06-28 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32244 |
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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.