Jessie Michelle Tyson, R.N.

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

146666 Issued in NC

Practice address

35 Woodfin St
Asheville, NC 28801-3020

Phone

(828) 250-5000

Fax

(828) 250-6165

NPI assigned

Nov 15, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154494623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 JOHNSON ST",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287164822",
            "telephone_number": "828-778-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WOODFIN ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013020",
            "telephone_number": "828-250-5000",
            "fax_number": "828-250-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "JESSIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NC",
            "license": "146666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.N. LICENSE NUMBER",
            "identifier": "146666",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Twenty 20 Optometric Group, P.a.
• Marit Chrislock Twitchen, MSW, LCSW-A
• Levi B Tylek, LCSW
• Brooke Tyler, L.AC., DOM
• Tyra Goodman, LCSW, PA
• Marissa Uhl, MSW, LCSWA
• Christopher Bernard Uithoven, PT, DPT
• Audrey Elliston Ulke, PSY.D.
• Saundra S. Ullerup, LPC
• Stephanie Wallen Ulmer, PHARMD

• Pediatric Registered Nurse in Asheville, NC
• Providers in Asheville, NC by specialty
• Pediatric Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.