Individual provider Active NPI

Tanika Marie Walrond

  • Licensed Practical Nurse
  • Mount Vernon, NY
National Provider Identifier
1548817398
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
335612 Issued in NY
Practice address
250 N Fulton Ave
Mount Vernon, NY 10552-3302
Phone
(917) 705-7850
NPI assigned
Aug 26, 2019
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 335612 NY Primary

Addresses

Primary practice location

250 N Fulton Ave
Mount Vernon, NY 10552-3302

Mailing address

250 N Fulton Ave
Mount Vernon, NY 10552-3302
Phone (917) 705-7850

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
335612NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Home Health Care Inc PastSince Sep 1, 2019 Accepting new patients
Absolute Home Health Care Inc PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1548817398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N FULTON AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523302",
            "telephone_number": "917-705-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N FULTON AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523302",
            "telephone_number": "917-705-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALROND",
        "first_name": "TANIKA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "335612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.