Tyneshia C Alexander, RECREATION THERAPIST

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

RE60540316 Issued in WA

Practice address

10427 19TH Ave SE Apt B
Everett, WA 98208-4261

Phone

(425) 268-4929

NPI assigned

Feb 6, 2015

Last updated

Feb 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tyneshia C Taylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1033500418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10427 19TH AVE SE APT B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084261",
            "telephone_number": "425-268-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10427 19TH AVE SE APT B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084261",
            "telephone_number": "425-268-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "TYNESHIA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "RECREATION THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "WA",
            "license": "RE60540316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYNESHIA",
            "last_name": "TAYLOR",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Autumn Alexander
• David Alexander, CDP
• Felicia Alexander
• Heidi Alexander, LICSW
• Robert Artie Alexander III
• Wendi Diane Alexander, ARNP
• Alfa Dental and Denture Center LLC (Alfa Dental and Denture Center)
• Mistty Summer Alger
• Noor Alharab
• Hiba Ali Eltayb

• Recreation Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Recreation Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.