Tysnie Williams, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CNA307360 Issued in FL

Practice address

13104 Sanctuary Cove Dr
Unit 104
Temple Terrace, FL 33637-2161

Phone

(813) 340-0173

NPI assigned

Nov 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Tender Loving Companion Care LLC

  • Adult Care Home Facility
  • Temple Terrace, FL
  • NPI 1265975387
  NPD (past) Authorized official

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1871036988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13104 SANCTUARY COVE DR",
            "address_2": "UNIT 104",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336372161",
            "telephone_number": "813-340-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13104 SANCTUARY COVE DR",
            "address_2": "UNIT 104",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336372161",
            "telephone_number": "813-340-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TYSNIE",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA307360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Re'Yasia Rachel West
• Hannah White
• Natalie Michelle Whitlock
• Julie M Whytas, LMHC
• Camille Lee Williams, ACNPC-AG
• Stephanie Willis, D.O.
• Jeffrey Scott Wilson, M.D.
• Jennifer Wilson, LMHC
• Joy Wilson, D.C.
• Lekia C Wilson, ARNP

• Nurse's Aide in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.