Individual provider Active NPI

Tyesia S Dennis

  • Adult Companion
  • Jacksonville, FL
National Provider Identifier
1497633945
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
CNA-297164 Issued in FL
Practice address
7730 Plantation Bay Dr Apt 306
Jacksonville, FL 32244-5194
Phone
(904) 343-6349
Fax
(904) 343-6349
NPI assigned
Aug 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X CNA-297164 FL Primary

Addresses

Primary practice location

7730 Plantation Bay Dr Apt 306
Jacksonville, FL 32244-5194

Mailing address

7730 Plantation Bay Dr Apt 306
Jacksonville, FL 32244-5194
Phone (904) 226-4646

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tyesiadennis@committedcare.biz Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CNA-297164FLMDAdult Companion

NPI Registry JSON

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

{
    "created_epoch": "1755907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1497633945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 PLANTATION BAY DR APT 306",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445194",
            "telephone_number": "904-226-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 PLANTATION BAY DR APT 306",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445194",
            "telephone_number": "904-343-6349",
            "fax_number": "904-343-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "TYESIA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-23",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "CNA-297164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tyesiadennis@committedcare.biz",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7730 Plantation Bay Dr Apt 306",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322445194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.