CHARLIE TYSON


Address: 920 Nw 7th Ave, Ft Lauderdale, FL 33311-7229
Phone: 9547793990

CHARLIE TYSON (NPI# 1710344411) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 920 NW 7TH AVE
City FT LAUDERDALE
State FL
Zip Code 33311-7229

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326494360 Laronda Thomas-garcia Counselor 920 Nw 7th Ave, Ft Lauderdale, FL 33311-7229 2016-05-09

Providers in the same zip code

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 Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City FT LAUDERDALE
Zip Code 33311

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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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