Tynia Childs, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

322787 Issued in NC

Practice address

685 W Broadway Apt 7K
Monticello, NY 12701-7154

Phone

(845) 428-5554

NPI assigned

Oct 14, 2010

Last updated

Sep 16, 2024By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1508176397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GRASSY SPRINGS CT",
            "city": "OXFORD",
            "state": "GA",
            "postal_code": "300543012",
            "telephone_number": "470-314-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 W BROADWAY APT 7K",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127017154",
            "telephone_number": "845-428-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "TYNIA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "322787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508176397",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Gail Chaiet, OTR/L
• Kathy A Chapin
• Marylynn Charnas
• Wing Chau, MD
• Joyce Ann Checksfield, P.T.
• Debra Chin, R.PH.
• Jamie Lynn Ciabattari, PT, DPT
• Kristi Marie Cianfichi
• Diann Clansy, RN
• Alan Bruce Cohen, RPH

• Addiction (Substance Use Disorder) Registered Nurse in Monticello, NY
• Providers in Monticello, NY by specialty
• Addiction (Substance Use Disorder) Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.