RASHEDA JUANDRELL TYSON NPI 1093337958

NPI Information

NPI: 1093337958
Provider Name: RASHEDA JUANDRELL TYSON
Classification: Prosthetist - 224P00000X
Entity Type: Individual
Address:
2702 MASSACHUSETTS AVE APT 185
PENSACOLA, FL
ZIP 32505
Phone: (850) 382-7803
Get Directions

Rasheda Juandrell Tyson is a prosthetist in Pensacola, FL. The provider is 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. Rasheda Juandrell Tyson NPI is 1093337958. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2702 MASSACHUSETTS AVE APT 185
PENSACOLA, FL
ZIP 32505-475
Phone: (850) 382-7803

The enumeration date for this NPI number is 5/14/2020 and was last updated on 5/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1744P3200X	Specialist	Prosthetics Case Management	CL1275593	FLORIDA	No
2	224P00000X	Prosthetist		CL1275593	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0827	OTHER		NONE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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