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TYSHAWN WISE
NPI 1003409483
Technician - Personal Care Attendant in Las Vegas, NV

Active since February 16, 2021
2770 S MARYLAND PKWY, LAS VEGAS, NV 89109(702) 463-7779 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyshawn Wise NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYSHAWN WISE (NPI 1003409483) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1003409483
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameTYSHAWN WISE
Location Address2770 S MARYLAND PKWYLas Vegas, NV 89109-1554
Mailing Address2770 S Maryland PkwyLas Vegas, NV 89109-1554 · (702) 463-7779
Phone(702) 463-7779
Sole ProprietorYes
Enumeration DateFebruary 16, 2021
NPPES CertifiedFebruary 16, 2021
✔ NPI 1003409483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
2770 S MARYLAND PKWY, Las Vegas, NV 89109
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA FILOMENA HUERTA
Technician (Personal Care Attendant)
2770 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (702) 331-0100
1ST LOVE AND LIFE CAREGIVERS, LLC
Adult Companion
2770 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (702) 463-7779
WILLIAM HENRI MANARD
Counselor
2770 S MARYLAND PKWY, SUITE 211
LAS VEGAS, NV 89109
Clark County (702) 675-3400
YITKA VILLAMIL-ESPINOSA
Technician (Personal Care Attendant)
2770 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (702) 331-0100
KARLA FLORES
Technician (Personal Care Attendant)
2770 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (702) 463-7779
MARY JANE SMITH
Technician (Personal Care Attendant)
2770 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (702) 463-7779
JOSENIA SAN JOSE
Technician (Personal Care Attendant)
2770 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (702) 463-7779
VALERIE GUTIERREZ
Technician (Personal Care Attendant)
2770 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (702) 463-7779

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyshawn Wise's NPI number?

The NPI number for Tyshawn Wise is 1003409483. It was assigned to this individual provider in the NPPES registry on February 16, 2021.

Where is Tyshawn Wise located?

Tyshawn Wise practices at 2770 S Maryland Pkwy, Las Vegas, NV 89109. The listed phone number is (702) 463-7779.

What is Tyshawn Wise's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Tyshawn Wise was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.