Tyeisha Parks

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TYEISHA PARKS

Practice address

500 Madison Ave Ste 200
Toledo, OH 43604-1230

Phone

(614) 597-9161

NPI assigned

Aug 29, 2024

Organization subpart

No

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

Authorized official

Name

Tyeisha ParksNPI 1265226799

Title

Owner

Phone

(614) 597-9161

Specialties & licenses 1

Addresses

Other names 1

• Columbus Diamonds Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyeisha Parks

  • Case Manager/Care Coordinator
  • Toledo, OH
  • NPI 1265226799
  NPD Authorized official

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1376377432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5679 SUTTERTON LN",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430815230",
            "telephone_number": "614-597-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MADISON AVE STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041230",
            "telephone_number": "614-597-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYEISHA PARKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "TYEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-597-9161"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Diamonds",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Columbus Diamonds",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karen M Tweedy, CNM
• Twin Oaks Pediatrics
• Jacqueline Twining, RN
• Codey A Tyda, MD
• Shanterius Tye
• Deborah Tyler, CNP
• Latoya Tyler
• Pamela Tyler, MS
• Rachel A Tyler, C.O.T.A
• Roberta Lynnette Tyler, LPN

• Community/Behavioral Health Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.