Active NPI
Tyshunna Womack
- Behavior Technician
- Cordova, TN
National Provider Identifier
1790699361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1176 Vickery LN Ste 100
Cordova, TN 38016-0631 - Phone
- (901) 341-3521
- Fax
- (901) 341-5993
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
1176 Vickery LN Ste 100
Cordova, TN 38016-0631
Mailing address
1176 Vickery LN Ste 100
Cordova, TN 38016-0631
Phone (901) 341-3521
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": "1790726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1790699361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1176 VICKERY LN STE 100",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380160631",
"telephone_number": "901-341-3521",
"fax_number": "901-341-5993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1176 VICKERY LN STE 100",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380160631",
"telephone_number": "901-341-3521",
"fax_number": "901-341-5993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "TYSHUNNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.