Active NPI
Tyhisha Shason Dukes, RN
- Home Health Registered Nurse
- Bronx, NY
National Provider Identifier
1811248875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 618296
- Practice address
- 758 S Oak Dr
Bronx, NY 10467-6566 - Phone
- (347) 336-4734
- NPI assigned
- Sep 30, 2012
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 618296 | NY | |
| Case Management Registered Nurse | 163WC0400X | 618296 | NY | |
| Community Health Registered Nurse | 163WC1500X | 618296 | NY | |
| Home Health Registered Nurse | 163WH0200X | 618296 | NY | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 618296 | NY |
Addresses
Primary practice location
758 S Oak Dr
Bronx, NY 10467-6566
Mailing address
PO Box 211123
Woodhaven, NY 11421-6123
Phone (347) 336-4734
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 |
|---|---|---|---|
| 618296 | NY | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348963200000",
"number": "1811248875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211123",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114216123",
"telephone_number": "347-336-4734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "758 S OAK DR",
"city": "BRONX",
"state": "NY",
"postal_code": "104676566",
"telephone_number": "347-336-4734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKES",
"first_name": "TYHISHA",
"middle_name": "SHASON",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-30",
"last_updated": "2012-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "618296",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "NY",
"license": "618296",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "NY",
"license": "618296",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "618296",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "618296",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.