Tyisha Shaquana King, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

296660 Issued in NY

Practice address

19 Denis LN
Middle Island, NY 11953-1513

Phone

(631) 388-2478

NPI assigned

Aug 22, 2011

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

State licenses

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1932489960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DENIS LN",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531513",
            "telephone_number": "631-388-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DENIS LN",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531513",
            "telephone_number": "631-388-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TYISHA",
        "middle_name": "SHAQUANA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "296660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Kiernan
• Minsung Kim
• Richard Kimmerling
• King Kullen Pharmacies Corp
• Brianna King
• Saul Philip Kirschenbaum, PH.D.
• Madison Hope Klaus
• Skylar Katherine Kleess
• Jeanne Ann Klein-Hegarty, MA,CCC,LSP
• Knickerbocker Dialysis Inc

• Licensed Practical Nurse in Middle Island, NY
• Providers in Middle Island, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.