TYSHAWN MARTIN LPN NPI 1255963450

NPI Information

NPI: 1255963450
Provider Name: TYSHAWN MARTIN, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
5202 PLUNKETT ST
HOLLYWOOD, FL
ZIP 33021
Phone: (305) 788-7779
Get Directions

Tyshawn Martin, LPN is a licensed practical nurse in Hollywood, FL. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Tyshawn Martin, LPN NPI is 1255963450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5202 PLUNKETT ST
HOLLYWOOD, FL
ZIP 33021-023
Phone: (305) 788-7779

The enumeration date for this NPI number is 2/6/2020 and was last updated on 2/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator	PN514280	FLORIDA	No
2	174400000X	Specialist	PN514280	FLORIDA	No
3	224P00000X	Prosthetist	PN514280	FLORIDA	No
4	246Y00000X	Specialist/Technologist, Health Information	PN514280	FLORIDA	No
5	251E00000X	Home Health	PN514280F	FLORIDA	No
6	251F00000X	Home Infusion	PN514280	FLORIDA	No
7	251J00000X	Nursing Care	PN514280	FLORIDA	No
8	405300000X	Prevention Professional	PN514280	FLORIDA	No
9	164W00000X	Licensed Practical Nurse	PN514280	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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