Active NPI
Tyesha Dean
- Rehabilitation Practitioner
- Henderson, NV
National Provider Identifier
1992274773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 98 E Lake Mead Pkwy Ste 302
Henderson, NV 89015-6444 - Phone
- (702) 433-3038
- NPI assigned
- Nov 21, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
98 E Lake Mead Pkwy Ste 302
Henderson, NV 89015-6444
Mailing address
98 E Lake Mead Pkwy Ste 302
Henderson, NV 89015-6444
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Kingdom Health System LLC | Current | 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.
-
- Home Health Agency
- Las Vegas, NV
- NPI 1457166605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1992274773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 E LAKE MEAD PKWY STE 302",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890156444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 E LAKE MEAD PKWY STE 302",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890156444",
"telephone_number": "702-433-3038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "TYESHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-21",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.