Active NPI
Phyllis Tyson, RN
- Gerontology Registered Nurse
- Orlando, FL
National Provider Identifier
1730565227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Registered Nurse
- License
- RN2529832
- Practice address
- 7034 Minippi Dr
Orlando, FL 32818-3345 - Phone
- (407) 925-7237
- NPI assigned
- Aug 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | RN2529832 | FL | Primary |
Addresses
Primary practice location
7034 Minippi Dr
Orlando, FL 32818-3345
Mailing address
1746 E Silver Star Rd
107
Ocoee, FL 34761-7014
Phone (407) 925-7237
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2529832 | FL | MD | Gerontology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1730565227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1746 E SILVER STAR RD",
"address_2": "107",
"city": "OCOEE",
"state": "FL",
"postal_code": "347617014",
"telephone_number": "407-925-7237",
"fax_number": "407-445-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7034 MINIPPI DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328183345",
"telephone_number": "407-925-7237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "PHYLLIS",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-06",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "FL",
"license": "RN2529832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
- Tygrand Investments LLC (Conway Oaks Dental)
- William Raymond Tyler III
- Melissa Mary Tyree, MD
- Katherine R Tyriver, PA
- Isabella Cook Tyson
- U.S. Bariatric, Orlando, LLC
- U.S. Department of Veterans Affairs Orlando VA Healthcare Center (Orlando VA Healthcare center)
- U.S. Healthworks Medical Group of Florida, Inc.
- U.S. Healthworks Medical Group of Florida, Inc.
- U.S. Healthworks Medical Group of Florida, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.