MISS JAQUITSHA LA'KWONSHAY TYSON-JOHNSON
NPI 1063239572
Prosthetic/Orthotic Supplier in Palm City, FL

Active since September 25, 2024
2047 SW DANFORTH CIR, PALM CITY, FL 34990(772) 485-2242 Get Directions Write a Review

NPPES record last updated: November 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2024, Sep 25, 2024 (2 updates tracked since 2024).

About Miss Jaquitsha La'kwonshay Tyson-johnson NPPES

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

MISS JAQUITSHA LA'KWONSHAY TYSON-JOHNSON (NPI 1063239572) is an individual prosthetic/orthotic supplier provider in Palm City, Florida and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1063239572
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameMISS JAQUITSHA LA'KWONSHAY TYSON-JOHNSON
Location Address2047 SW DANFORTH CIRPalm City, FL 34990-7704
Mailing Address390 Ne 191st St # 8584Miami, FL 33179-3899 · (772) 485-2242
Sole ProprietorYes
Enumeration DateSeptember 25, 2024
Last NPPES UpdateNovember 9, 20242 updates tracked since enumeration
NPPES CertifiedNovember 9, 2024
NPI 1063239572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
2047 SW DANFORTH CIR, Palm City, FL 34990

Other Providers at the Same Location NPPES

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

Prosthetic/Orthotic Supplier
2047 SW DANFORTH CIR
PALM CITY, FL 34990

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 Jaquitsha Tyson-johnson's NPI number?

The NPI number for Jaquitsha Tyson-johnson is 1063239572. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Where is Jaquitsha Tyson-johnson located?

Jaquitsha Tyson-johnson practices at 2047 SW Danforth Cir, Palm City, FL 34990. The listed phone number is (772) 485-2242.

What is Jaquitsha Tyson-johnson's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Jaquitsha Tyson-johnson was last updated on November 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.