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TYSHANN WALKER
NPI 1245604461
Rehabilitation Practitioner in North Las Vegas, NV

Active since November 26, 2015
917 BISTRO BAY AVE, NORTH LAS VEGAS, NV 89086(702) 969-3182 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2018, Nov 26, 2015 (2 updates tracked since 2015).

About Tyshann Walker NPPES

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

TYSHANN WALKER (NPI 1245604461) is an individual rehabilitation practitioner in North Las Vegas, Nevada and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1245604461
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameTYSHANN WALKER
Location Address917 BISTRO BAY AVENorth Las Vegas, NV 89086-1336
Mailing Address917 Bistro Bay AveNorth Las Vegas, NV 89086-1336 · (702) 969-3182
Phone(702) 969-3182
Sole ProprietorYes
Enumeration DateNovember 26, 2015
Last NPPES UpdateMay 3, 20182 updates tracked since enumeration
✔ NPI 1245604461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedPsychoanalystTaxonomy 102L00000X
917 BISTRO BAY AVE, North Las Vegas, NV 89086
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Other Names 1

Former Name (1)Tyshann Mingo

Other Providers at the Same Location NPPES

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

HERE BEHAVIORAL HEALTH LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
917 BISTRO BAY AVE
NORTH LAS VEGAS, NV 89086
Clark County (702) 969-3182

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 Tyshann Walker's NPI number?

The NPI number for Tyshann Walker is 1245604461. It was assigned to this individual provider in the NPPES registry on November 26, 2015. The provider is also known as Tyshann Mingo.

Where is Tyshann Walker located?

Tyshann Walker practices at 917 Bistro Bay Ave, North Las Vegas, NV 89086. The listed phone number is (702) 969-3182.

What is Tyshann Walker's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Tyshann Walker was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.