TYSON LAUDERDALE
NPI 1063206340
Case Manager/Care Coordinator in Athens, OH

Q: What is Tyson Lauderdale's NPI number?

The NPI number for Tyson Lauderdale is 1063206340. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Q: What is Tyson Lauderdale's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyson Lauderdale was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since April 09, 2025

400 E STATE ST STE D, ATHENS, OH 45701(740) 326-6110 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tyson Lauderdale NPPES

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

TYSON LAUDERDALE (NPI 1063206340) is an individual case manager/care coordinator provider in Athens, Ohio and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1063206340

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameTYSON LAUDERDALE

Location Address400 E STATE ST STE DAthens, OH 45701-1870

Mailing Address72 N Huron AveColumbus, OH 43204-2661 · (614) 984-9030

Phone(740) 326-6110

Sole ProprietorYes

Enumeration DateApril 9, 2025

NPPES CertifiedApril 9, 2025

✔ NPI 1063206340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

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.

400 E STATE ST STE D, Athens, OH 45701

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MS. ANGELICA MARIE ALBEK BSN-RN

Registered Nurse (Psychiatric/Mental Health)