Individual provider Active NPI

Karen Anne Tyszkowski, RNCNS

  • Psychiatric/Mental Health Registered Nurse
  • North Kingstown, RI
National Provider Identifier
1811903636
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN11331 Issued in RI
Practice address
1130 Ten Rod Road
Suite E204
North Kingstown, RI 02852
Phone
(401) 294-9600
Fax
(401) 295-7395
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN11331 RI Primary

Addresses

Primary practice location

1130 Ten Rod Road
Suite E204
North Kingstown, RI 02852

Mailing address

1130 Ten Rod Road
Suite E204
North Kingstown, RI 02852
Phone (401) 294-9600

Other identifiers 4

IdentifierTypeStateIssuer
0000003469001OtherBLUE CROSS
00406295001OtherRIBLUE CHIP CP
1023160OtherRIBEACON
370170OtherRIMAGELLAN UNITED HC

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
RN11331RIMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811903636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD ROAD",
            "address_2": "SUITE E204",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "02852",
            "telephone_number": "401-294-9600",
            "fax_number": "401-295-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD ROAD",
            "address_2": "SUITE E204",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "02852",
            "telephone_number": "401-294-9600",
            "fax_number": "401-295-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSZKOWSKI",
        "first_name": "KAREN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RNCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "RI",
            "license": "RN11331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0000003469001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP CP",
            "identifier": "00406295001",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "1023160",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN UNITED HC",
            "identifier": "370170",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.