Active NPI
Joy L Tyson, CRNP AND CNS-MH
- Family Nurse Practitioner
- Prescott, AZ
National Provider Identifier
1912966383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R075592
- Practice address
- 500 Highway 89 N
Prescott, AZ 86313 - Phone
- (928) 445-4860
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R075592 | MD | Primary |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | R075592 | MD |
Addresses
Primary practice location
500 Highway 89 N
Prescott, AZ 86313
Mailing address
500 Highway 89N
Prescott, AZ 86313
Phone (928) 445-4860
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R075592 | MD | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1912966383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 HIGHWAY 89N",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86313",
"telephone_number": "928-445-4860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HIGHWAY 89 N",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86313",
"telephone_number": "928-445-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "JOY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "CRNP AND CNS-MH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R075592",
"primary": true
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MD",
"license": "R075592",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
- Tammy June Turney, FNP-C
- Turning Corners Mental Health (Turning Corners)
- Barbara Alice Tye-Townsel, PSYD
- Tyler Hanis DDS PLLC
- Erika Benay Tyler, AGACNP-BC
- Erwina Ungos, D.O
- United States Veterans Initiative - Prescott
- Unlimited Home Health Center, Inc (American Medical Direct)
- Untied of Northern Arizona
- Robert Claud Upchurch III, N.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.