Active NPI
Tyson Johnson
- Chore Provider
- La Vista, NE
National Provider Identifier
1073401725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 7200 S 84TH St Ste 6
La Vista, NE 68128-2116 - Phone
- (531) 999-2503
- NPI assigned
- Jun 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | Primary |
Addresses
Primary practice location
7200 S 84TH St Ste 6
La Vista, NE 68128-2116
Mailing address
7200 S 84TH St Ste 6
La Vista, NE 68128-2116
Phone (531) 999-2503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Hill Home Care, Inc. | Current | Accepting new patients |
Locations
7200 S 84th St
Ste 6
La Vista, NE 68128
Phone (531) 999-2503
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- La Vista, NE
- NPI 1174171193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1073401725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 S 84TH ST STE 6",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681282116",
"telephone_number": "531-999-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 S 84TH ST STE 6",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681282116",
"telephone_number": "531-999-2503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TYSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-24",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Vista, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.