IMANI ISSA
NPI 1245713569
Student in an Organized Health Care Education/Training Program in Tyler, TX

Active since September 12, 2018
3900 UNIVERSITY BLVD, TYLER, TX 75799(817) 707-4208 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Imani Issa NPPES

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

IMANI ISSA (NPI 1245713569) is an individual student in an organized health care education/training program in Tyler, Texas and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1245713569
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIMANI ISSA
Location Address3900 UNIVERSITY BLVDTyler, TX 75799-6600
Mailing Address2366 Stagecoach StFort Worth, TX 76133-8196 · (817) 707-4208
Sole ProprietorYes
Enumeration DateSeptember 12, 2018
NPI 1245713569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3900 UNIVERSITY BLVD, Tyler, TX 75799

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Specialist/Technologist (Athletic Trainer)
3900 UNIVERSITY BLVD
TYLER, TX 75799
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Counselor (Mental Health)
3900 UNIVERSITY BLVD
TYLER, TX 75799
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799

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 Imani Issa's NPI number?

The NPI number for Imani Issa is 1245713569. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Where is Imani Issa located?

Imani Issa practices at 3900 University Blvd, Tyler, TX 75799. The listed phone number is (817) 707-4208.

What is Imani Issa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Imani Issa was last updated on September 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.