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TYSHEANA PETERSON
NPI 1154930527
Homemaker in Jacksonville, FL

Active since July 30, 2020
6717 SOUTHERN OAKS DR, JACKSONVILLE, FL 32244(904) 575-5082 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2021, Jan 16, 2021, Jul 30, 2020 (3 updates tracked since 2020).

About Tysheana Peterson NPPES

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

TYSHEANA PETERSON (NPI 1154930527) is an individual homemaker provider in Jacksonville, Florida, licensed in Florida (236899) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1154930527
Entity TypeIndividualFemale
Primary Taxonomy376J00000X
Provider Legal NameTYSHEANA PETERSON
Location Address6717 SOUTHERN OAKS DRJacksonville, FL 32244-3675
Mailing AddressPo Box 440222Jacksonville, FL 32222-0021 · (904) 575-5082
Phone(904) 575-5082
Sole ProprietorNo
Enumeration DateJuly 30, 2020
Last NPPES UpdateSeptember 17, 20213 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
✔ NPI 1154930527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHomemakerNursing Service Related Providers
Taxonomy Code376J00000X
License✔ Licensed in FL · 236899
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
Also ListedChore ProviderTaxonomy 372500000X
Also ListedHome Health AideTaxonomy 374U00000X
6717 SOUTHERN OAKS DR, Jacksonville, FL 32244
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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 Tysheana Peterson's NPI number?

The NPI number for Tysheana Peterson is 1154930527. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Where is Tysheana Peterson located?

Tysheana Peterson practices at 6717 Southern Oaks Dr, Jacksonville, FL 32244. The listed phone number is (904) 575-5082.

What is Tysheana Peterson's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Tysheana Peterson was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.