Individual provider Active NPI

Tiyosha Turner

  • Primary Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1164261590
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1164309 Issued in TX
Practice address
509 W Tidwell Rd Ste 120
Houston, TX 77091-4356
Phone
(713) 694-6447
NPI assigned
May 24, 2024
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1164309 TX
Primary Care Nurse Practitioner 363LP2300X 1164309 TX Primary
Maternal Newborn Registered Nurse 163WM0102X 978487 TX

Addresses

Primary practice location

509 W Tidwell Rd Ste 120
Houston, TX 77091-4356

Mailing address

509 W Tidwell Rd Ste 100
Houston, TX 77091-4353
Phone (713) 694-6447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260105000504 TX Practitioner - Nurse Practitioner 4981190501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1255 Lynnfield Rd
Suite 101
Memphis, TN 38119-1513

509 W Tidwell Rd
Suite 100
Houston, TX 77091-4353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
978487TXMDMaternal Newborn Registered Nurse
1164309TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rpo Physician Partners Single Specialty CurrentSince Oct 24, 2025 Accepting new patients
Stacey Nicole Jones PA Single Specialty PastSince Jul 9, 2025 Accepting new patients

Locations

509 W Tidwell Rd
Ste 100
Houston, TX 77091
Phone (713) 560-1209

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1164261590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W TIDWELL RD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914353",
            "telephone_number": "713-694-6447",
            "fax_number": "713-492-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W TIDWELL RD STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914356",
            "telephone_number": "713-694-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "TIYOSHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1164309",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1164309",
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "TX",
            "license": "978487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.