KATHERINE SUZANNE TYSON


Address: 5875 Bremo Rd, Suite 400, Richmond, VA 23226-1934
Phone: 8042884084

KATHERINE SUZANNE TYSON (NPI# 1225246721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225246721
Entity Type Individual
Full Name KATHERINE SUZANNE TYSON
Credential MD,MED
Practice Address 5875 Bremo Rd
Suite 400
Richmond
VA 23226-1934
Mailing Address 7130 Glen Forest Drive
Suite 101
Richmond
VA 23226-3754
Practice Telephone 8042884084
Practice Fax Number 8042822601
Mailing Telephone 8046626060
Mailing Fax Number 8042828678
Enumeration Date 2007-05-18
Last Update Date 2011-03-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 0101247079 VA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 1225246721 05

Other Providers KATHERINE TYSON

NPI Name Taxonomy Address Enumeration
1801121421 Katherine Olivia Tyson Physical Therapist 383 E 17th St, Apt. C5, Brooklyn, NY 11226-5773 2009-10-15
1497204473 Katherine Tyson Social Worker 405 N Wabash Ave, 509, Chicago, IL 60611-3591 2016-10-01
1730598665 Katherine Elizabeth Tyson Psychologist 205 Sage Rd, Chapel Hill, NC 27514-6995 2014-08-05

Office Location

Street Address 5875 BREMO RD
SUITE 400
City RICHMOND
State VA
Zip Code 23226-1934

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730183484 Gary Reuben Zeevi Specialist 5875 Bremo Rd, Mob South, Suite G-5, Richmond, VA 23226-1934 2005-06-10
1205486354 Brianne Augusta Cohen Nurse Practitioner 5875 Bremo Rd, Mob South, Suite 209, Richmond, VA 23226 2019-09-19
1245729565 Sarah Kathleen Agee Registered Nurse 5875 Bremo Rd, Richmond, VA 23226-1934 2018-05-02
1326572785 Miranda Means Physical Therapy Assistant 5875 Bremo Rd, Suite 611, Richmond, VA 23226-1934 2017-04-12
1285168617 Angela M. Denney Logan Physical Therapist 5875 Bremo Rd, Suite #611, Richmond, VA 23226-1934 2017-04-12
1679013205 Rachel A Licklider Social Worker 5875 Bremo Rd, Suite 311, Richmond, VA 23226-1934 2017-03-01
1174072193 Mona Kaur Nurse Practitioner 5875 Bremo Rd, Suite 311, Richmond, VA 23226-1934 2016-10-03
1932654886 Bon Secours - Richmond Community Hospital, Incorporated Obstetrics & Gynecology 5875 Bremo Rd, Suite G-7, Richmond, VA 23226 2016-08-22
1235582818 Bon Secours - Richmond Community Hospital, Incorporated Internal Medicine 5875 Bremo Rd, Suite 209, Richmond, VA 23226 2016-07-19
1568832541 Tara Thompson Nurse Practitioner 5875 Bremo Rd, Suite 601, Richmond, VA 23226-1934 2015-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033625744 Eye Surgeons of Richmond, Inc. Eyewear Supplier (Equipment, not the service) 5875 Bremo Rd Ste 606, Richmond, VA 23226 2017-12-18
1922517028 Karen Margaret Karwowski Physical Therapist 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 2017-09-21
1831636463 Tammy A Lewis Nurse Practitioner 5803 Bremo Road, Richmond, VA 23226 2017-01-20
1497116438 Ashton Williams Counselor 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 2016-03-18
1396110078 Nino Carlo Deleon Dentist 5500 Monument Ave Ste G, Richmond, VA 23226 2015-12-07
1083097794 Amy Michelle Kruger Podiatrist 2008 Bremo Rd Ste 100, Richmond, VA 23226 2015-06-30
1841682762 James Bryce Lothian Pediatrics 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 2015-03-02
1811334980 Carmen Wong Physical Medicine & Rehabilitation 1901 Libbie Ave, Richmond, VA 23226 2013-05-30
1841533890 Lauren Etz Freeman Nurse Practitioner 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 2013-03-28
1609126044 Tammy Denise Mills Nurse Practitioner 1501 Maple Ave Ste 301, Richmond, VA 23226 2012-09-13
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407382948 Bharti Mehta Specialist 9609 Gayton Rd Ste 102, Richmond, VA 23238-4900 2017-05-03
1912454265 Ivan Tolbert Specialist 1702 Dakota Ave, Richmond, VA 23220-6911 2016-09-03
1447608625 Lorraine Closser Specialist 68753 S Main St, Richmond, MI 48062-1209 2016-05-29
1992173561 Paige Weekes Specialist 3200 Manorcrest Rd, Richmond, VA 23234-2335 2015-09-12
1396123519 Lori Dotson Specialist 401 Lewis Dr, Richmond, KY 40475-7723 2015-05-07
1174929178 Sonya Seng Specialist 5500 Monument Ave Ste M, Richmond, VA 23226-1452 2014-11-18
1568881837 Adaugo Amuta Specialist 19515 Stetson Heights Ln, Richmond, TX 77407-5583 2014-04-15
1306277983 Tabitha Ames Specialist 3748 Morningside Dr, Richmond, CA 94803-2128 2013-12-06
1659705945 Emily Sarah Bracy Specialist 1310 Gilchrist Ct, Richmond, VA 23231-5110 2013-08-22
1386076206 Marcia Elizabeth Logan Specialist 25543 Canyon Crossing Dr, Richmond, TX 77406-7278 2013-08-01
Find all providers in RICHMOND

Competitor

Search similar providers

City RICHMOND
Zip Code 23226

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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