Shawner Tyson, PHLEBOTOMIST

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

063018-PWECW15312 Issued in MS

Practice address

665 S Pear Orchard Rd
Ridgeland, MS 39157-4861

Phone

(601) 921-5081

Fax

(601) 860-9834

NPI assigned

Aug 19, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• SLT Allscreens Mobile Testing LLC

  • Clinical Medical Laboratory
  • Ridgeland, MS
  • NPI 1821980996
  NPD Authorized official

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1376420570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 HIGHWAY 84",
            "city": "PRENTISS",
            "state": "MS",
            "postal_code": "394744482",
            "telephone_number": "601-441-8326",
            "fax_number": "601-860-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 S PEAR ORCHARD RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574861",
            "telephone_number": "601-921-5081",
            "fax_number": "601-860-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "SHAWNER",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MS",
            "license": "063018-PWECW15312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly M Turner
• Pamela M Turner, LPC
• Dixie Star Tyer, OT
• Maria Madeline Tynes, OT
• Nadia Aboussouan Tyson, M.D.
• U R Unique Counseling Spa
• Whitney Ueltschey, PT
• Ann Strickland Ulmer, PH.D.
• Emily Breland Underwood, MOTR/L
• United Care Prosthetics LLC

• Phlebotomy Technician in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Phlebotomy Technician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.