Tyletta Marshbanks Blakely

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

20701 Issued in TX

Practice address

2601 Little Elm Pkwy Ste 1803
Little Elm, TX 75068-2503

Phone

(214) 724-4682

NPI assigned

May 14, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1982495453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 LAKE POINT CT",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750688428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 LITTLE ELM PKWY STE 1803",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750682503",
            "telephone_number": "214-724-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHBANKS BLAKELY",
        "first_name": "TYLETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "20701",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joi Mainoo, RN, ATC, LAT
• Maybeth Maldonado Hernandez
• Manish Nair MD PLLC
• Ginette A Margarida Abreu, M.S., CCC-SLP
• Mark Ray MD Dermatology PLLC
• Marvel Smile Dental
• Mary E Bell
• Rebekah Mercy Masih, MS
• Lynnette Marie Mason
• Ziad Masoud, DDS, MDS

• Community Health Worker in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.