Individual provider Active NPI

Tyeisha Nykia Smallwood

  • Driver
  • Ahoskie, NC
National Provider Identifier
1538078266
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
27831110 Issued in NC
Practice address
213 Malibu Dr
Ahoskie, NC 27910-2443
Phone
(252) 642-2221
NPI assigned
Sep 7, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193400000X SINGLE SPECIALTY GROUP 172A00000X 27831110 NC Primary

Addresses

Primary practice location

213 Malibu Dr
Ahoskie, NC 27910-2443

Mailing address

213 Malibu Dr
Ahoskie, NC 27910-2443
Phone (252) 642-2221

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1538078266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MALIBU DR",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279102443",
            "telephone_number": "252-642-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MALIBU DR",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279102443",
            "telephone_number": "252-642-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "TYEISHA",
        "middle_name": "NYKIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "NC",
            "license": "27831110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.