Tylon Jade White

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

254531 Issued in KY

Practice address

990 Villa St
Mountain View, CA 94041-1236

Phone

(270) 889-4082

NPI assigned

Aug 15, 2017

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 names 1

• Tylon Wilcox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1679099303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 614",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422410614",
            "telephone_number": "270-886-2205",
            "fax_number": "270-886-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 VILLA ST",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940411236",
            "telephone_number": "270-889-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TYLON",
        "middle_name": "JADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLON",
            "last_name": "WILCOX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tenaya West, DPM
• Whidbey Island Public Hospital District
• Marina J. White-Nagy, MD
• Jason Ian White, MA
• Lee Woodruff White, MD
• Donald H Whitebread Jr., D.D.S.
• Danyel Denise Whitford
• Emily Ann Whitlatch
• John Whitney, MD
• Mark R Wieland, MD

• Clinical Social Worker in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.