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RASHEDA JUANDRELL TYSON
NPI 1093337958
Prosthetist in Pensacola, FL

Active since May 14, 2020
2702 MASSACHUSETTS AVE APT 185, PENSACOLA, FL 32505(850) 382-7803 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rasheda Juandrell Tyson NPPES

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

RASHEDA JUANDRELL TYSON (NPI 1093337958) is an individual prosthetist provider in Pensacola, Florida, licensed in Florida (CL1275593) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1093337958
Entity TypeIndividualFemale
Primary Taxonomy224P00000X
Provider Legal NameRASHEDA JUANDRELL TYSON
Location Address2702 MASSACHUSETTS AVE APT 185Pensacola, FL 32505-3475
Mailing Address2702 Massachusetts Ave Apt 185Pensacola, FL 32505-3475 · (850) 382-7803
Phone(850) 382-7803
Sole ProprietorNo
Enumeration DateMay 14, 2020
NPPES CertifiedMay 14, 2020
✔ NPI 1093337958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License✔ Licensed in FL · CL1275593
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedSpecialist · Prosthetics Case ManagementTaxonomy 1744P3200X · License CL1275593 (FL)
2702 MASSACHUSETTS AVE APT 185, Pensacola, FL 32505
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Other Identifiers 1

Other0827None

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 Rasheda Tyson's NPI number?

The NPI number for Rasheda Tyson is 1093337958. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Rasheda Tyson located?

Rasheda Tyson practices at 2702 Massachusetts Ave Apt 185, Pensacola, FL 32505. The listed phone number is (850) 382-7803.

What is Rasheda Tyson's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Rasheda Tyson was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.