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: July 19, 2026.

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

  • Individual
  • Female
  • Homemaker

About TYSHEANA PETERSON

This page provides the complete NPI Profile along with additional information for Tysheana Peterson, a provider established in Jacksonville, Florida with a medical specialization in Homemaker. The healthcare provider is registered in the NPI registry with number 1154930527 assigned on July 2020. The practitioner's primary taxonomy code is 376J00000X with license number 236899 (FL). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1154930527 Verify this NPI
Provider Name
TYSHEANA PETERSON
Gender
Female
Entity Type
Individual
Location Address
6717 SOUTHERN OAKS DR JACKSONVILLE, FL 32244
Location Phone
(904) 575-5082
Mailing Address
PO BOX 440222 JACKSONVILLE, FL 32222
Mailing Phone
(904) 575-5082
Is Sole Proprietor?
No
Enumeration Date
07-30-2020
Last Update Date
09-17-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Homemaker

Taxonomy Code
376J00000X
Type
Nursing Service Related Providers
License No.
236899
License State
FL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1372500000XNursing Service Related Providers

Chore Provider

(FL)
2374U00000XNursing Service Related Providers

Home Health Aide

(FL)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154930527, enumerated as an "individual" on July 30, 2020.

The provider is located at 6717 SOUTHERN OAKS DR JACKSONVILLE, FL 32244 and the phone number is (904) 575-5082.

Homemaker with taxonomy code 376J00000X.