Chanel Tyson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

345727 Issued in NY

Practice address

15C Hemlock Dr Apt 28
Bay Shore, NY 11706-2923

Phone

(917) 687-4198

NPI assigned

Oct 14, 2025

Last updated

Oct 14, 2025By the provider in NPPES

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

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1396611521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15C HEMLOCK DR APT 28",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062923",
            "telephone_number": "917-687-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15C HEMLOCK DR APT 28",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062923",
            "telephone_number": "917-687-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "CHANEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "345727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mielay Tun
• Darryl Turakhia, DO
• Robert David Turoff, M.D.
• Steven Tuzinkiewicz, M.D.
• Rebecca Michelle Tymeck, LMSW
• Lynda Lee Uhl, OTR/L
• Abid Ullah, MD
• Ultra Health PT & Pta, PLLC (Ultra Health Physical & Aquatic Therapy)
• Yvrose Ulysse
• Natalia Magdalena Umanzor, OTR/L

• Licensed Practical Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.