CHARLIE TYSON (NPI# 1710344411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710344411 |
Entity Type | Individual |
Full Name | CHARLIE TYSON |
Practice Address |
920 Nw 7th Ave Ft Lauderdale FL 33311-7229 |
Practice Telephone | 9547793990 |
Enumeration Date | 2016-01-26 |
Last Update Date | 2016-01-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
920 NW 7TH AVE |
City | FT LAUDERDALE |
State | FL |
Zip Code | 33311-7229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326494360 | Laronda Thomas-garcia | Counselor | 920 Nw 7th Ave, Ft Lauderdale, FL 33311-7229 | 2016-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
1942769534 | Cbd Skeletal Solutions, LLC | Durable Medical Equipment & Medical Supplies | 630 Tennis Club Drive, Outerbridge - 407, Ft. Lauderdale, FL 33311 | 2019-03-14 |
1770049116 | Jordan Matthew Nodelman | Social Worker | 871 W Oakland Park Boulevard, Oakland Park, FL 33311 | 2019-02-11 |
1417422304 | Carebridge Home Health of Flrorida | Home Health | 1871 West Oakland Park Blvd, Suite E, Oakland Park, FL 33311 | 2018-10-08 |
1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
1477047058 | Latino Medical Center IIi | General Practice | 3670 W Oakland Blvd, Lauderdale Lakes, FL 33311 | 2018-06-18 |
1316442049 | Anita Fox | Non-emergency Medical Transport (VAN) | 2880 West Oakland Park Blvd, 234, Oakland Park, FL 33311 | 2018-03-26 |
1669995957 | Lola J Lewis-walker | Nurse Practitioner | 925 Nw 14th St, Fort Lauderdale, FL 33311 | 2017-07-19 |
1598294936 | Abigail D Garcia | Counselor | 713 Nw 1st Ave, Fort Lauderdale, FL 33311 | 2017-06-08 |
1548712524 | Hubert Faustin | Counselor | 1409 Nw 1st Avenue, Fort Lauderdale, FL 33311 | 2016-10-26 |
Find all providers in zip 33311 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326650706 | Carlos Puig | Case Manager/Care Coordinator | 1500 W Cypress Creek Rd Ste 420, Ft Lauderdale, FL 33309-1874 | 2020-08-18 |
1427591775 | Cathy Brumbaugh | Case Manager/Care Coordinator | 605 Ne 9th Ave, Ft Lauderdale, FL 33304-1633 | 2016-11-18 |
1508181280 | Linda Cichon | Case Manager/Care Coordinator | 1100 W State Road 84, 2nd Floor, Ft Lauderdale, FL 33315-2436 | 2010-04-06 |
1912036559 | Diane Sasser | Case Manager/Care Coordinator | 2677 Nw 19th St, Ft Lauderdale, FL 33311-3340 | 2007-03-02 |
1750877742 | Ellan Destinasse | Case Manager/Care Coordinator | 6750 N Andrews Ave Ste 200, Ft Lauderdale, FL 33309-2180 | 2018-07-03 |
1497179808 | Ernest Blanco | Case Manager/Care Coordinator | 401 Ne 4th St, Ft Lauderdale, FL 33301-1151 | 2014-02-06 |
1821426651 | Yahaira Finales | Case Manager/Care Coordinator | 401 Ne 4th St, Ft Lauderdale, FL 33301-1151 | 2013-10-14 |
1598015661 | Wendy Joseph | Case Manager/Care Coordinator | 401 Ne 4th St, Ft Lauderdale, FL 33301-1151 | 2012-09-14 |
1992023659 | Michelle Anne Reese | Case Manager/Care Coordinator | 1100 W State Road 84, Ft Lauderdale, FL 33315-2436 | 2010-05-05 |
1083877922 | Pekia Burke | Case Manager/Care Coordinator | 2900 W Prospect Rd, Ft Lauderdale, FL 33309-2519 | 2008-07-09 |
Find all providers in FT LAUDERDALE |
City | FT LAUDERDALE |
Zip Code | 33311 |
Please comment or provide details below to improve the information on CHARLIE TYSON.
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.