Active NPI
Veda Tyson, NP-P, LMSW, APRN
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
National Provider Identifier
1083731665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 401299
- Practice address
- 138 W 25TH St
New York, NY 10001-7405 - Phone
- (212) 335-2100
- Fax
- (646) 775-4142
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4524 | CT | |
| Clinical Social Worker | 1041C0700X | 68378 | NY | |
| Registered Nurse | 163W00000X | 628862 | NY | |
| Registered Nurse | 163W00000X | 088298 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 401299 | NY | Primary |
Addresses
Primary practice location
138 W 25TH St
New York, NY 10001-7405
Mailing address
138 W 25TH St
New York, NY 10001-7405
Phone (212) 335-2100
Other practice location 1
180 S Broadway Ste 310
White Plains, NY 10605-1820
Phone (914) 259-5770
Other practice location 2
73 Market St
Yonkers, NY 10710-7616
Phone (914) 848-8030
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68378 | NY | MD | Clinical Social Worker |
| 088298 | CT | MD | Registered Nurse |
| 628862 | NY | MD | Registered Nurse |
| 4524 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1083731665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 W 25TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017405",
"telephone_number": "212-335-2100",
"fax_number": "646-775-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 W 25TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017405",
"telephone_number": "212-335-2100",
"fax_number": "646-775-4142"
}
],
"practiceLocations": [
{
"address_1": "180 S Broadway Ste 310",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106051820",
"country_code": "US",
"telephone_number": "914-259-5770",
"fax_number": "914-206-3537",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "73 Market St",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107107616",
"country_code": "US",
"telephone_number": "914-848-8030",
"fax_number": "914-848-8031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYSON",
"first_name": "VEDA",
"name_prefix": "Ms.",
"credential": "NP-P, LMSW, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "4524",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "68378",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "628862",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "088298",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "401299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.