Judy Tyson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

948TCI Issued in CO

Practice address

112 W 5TH St
Leadville, CO 80461-3510

Phone

(719) 486-0118

Fax

(719) 486-4168

NPI assigned

Oct 20, 2009

Last updated

Oct 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake County Government

  dba Lake County Public Health Agency

  • Public Health or Welfare Agency
  • Leadville, CO
  • NPI 1427493824
  NPD (past)
• Lake County Government

  dba LAKE COUNTY PUBLIC HEALTH Agency

  • Public Health or Welfare Agency
  • Leadville, CO
  • NPI 1851411458
  NPD (past)

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1831425206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804610626",
            "telephone_number": "719-486-0118",
            "fax_number": "719-486-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 5TH ST",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613510",
            "telephone_number": "719-486-0118",
            "fax_number": "719-486-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "JUDY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "948TCI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Community Care Clinic, Inc. (Elevated Community Health)
• Summit County Psychiatric Solutions LLC
• Susanne Neal Dba Clearwater Counseling (Clearwater Counseling)
• Lauren Turner, RN
• Two Roots Acupuncture, LLC
• Vail Summit Orthopaedics
• Melissa Jean Villarreal, RDH
• VVMC Diversified Services (Vail Health Clinic Leadville)
• Christopher Wagers, NREMT-PARAMEDIC
• Virginia Walker, BSN, RN

• Registered Nurse in Leadville, CO
• Providers in Leadville, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.