Individual provider Active NPI

Karen Kennedy Tyus, LM

  • Lay Midwife
  • Sanford, FL
National Provider Identifier
1962589267
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
License
MW116 Issued in FL
Practice address
819 W 1St St
Sanford, FL 32771-1123
Phone
(407) 321-3884
Fax
(407) 321-3885
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lay Midwife 175M00000X MW116 FL Primary

Addresses

Primary practice location

819 W 1St St
Sanford, FL 32771-1123

Mailing address

421 S Parsons Ave
Deland, FL 32720-5318
Phone (386) 748-1542

Other identifiers 1

IdentifierTypeStateIssuer
340123500MedicaidFL

Other names 1

  • Karen McKenzie Kennedy Former name

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

State licenses

LicenseStateTypeSpecialty
MW116FLMDLay Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
A Woman'S Touch in Healthcare, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962589267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S PARSONS AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205318",
            "telephone_number": "386-748-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711123",
            "telephone_number": "407-321-3884",
            "fax_number": "407-321-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYUS",
        "first_name": "KAREN",
        "middle_name": "KENNEDY",
        "credential": "LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "FL",
            "license": "MW116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340123500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KENNEDY",
            "middle_name": "MCKENZIE",
            "credential": "LM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.