Organization Active NPI

Tyesia Dennis

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1912378191
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TYESIA DENNIS
Practice address
6155 Longchamp Dr Apt D
Jacksonville, FL 32244-5141
Phone
(904) 343-6349
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Tyesia Shakima Dennis
Title
Owner
Phone
(904) 343-6349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6155 Longchamp Dr Apt D
Jacksonville, FL 32244-5141

Mailing address

6155 Longchamp Dr Apt D
Jacksonville, FL 32244-5141
Phone (904) 343-6349

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1912378191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 LONGCHAMP DR APT D",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445141",
            "telephone_number": "904-343-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 LONGCHAMP DR APT D",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445141",
            "telephone_number": "904-343-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYESIA DENNIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "TYESIA",
        "authorized_official_middle_name": "SHAKIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-343-6349"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.