Individual provider Active NPI

Tyreisha Kight

  • Home Health Agency
  • Memphis, TN
National Provider Identifier
1104409804
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1000000028434 Issued in TN
Practice address
1833 Wessex Dr Apt 4
Memphis, TN 38116-4853
Phone
(901) 343-0218
Fax
(855) 718-9975
NPI assigned
Apr 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1000000028434 TN Primary

Addresses

Primary practice location

1833 Wessex Dr Apt 4
Memphis, TN 38116-4853

Mailing address

1833 Wessex Dr Apt 4
Memphis, TN 38116-4853
Phone (901) 343-0218

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

State licenses

LicenseStateTypeSpecialty
1000000028434TNMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Angelic Home Care Home Health CurrentSince Jun 6, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1104409804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 WESSEX DR APT 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381164853",
            "telephone_number": "901-343-0218",
            "fax_number": "855-718-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 WESSEX DR APT 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381164853",
            "telephone_number": "901-343-0218",
            "fax_number": "855-718-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIGHT",
        "first_name": "TYREISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "1000000028434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.