TYSHAWN MARTIN LPN
NPI 1255963450
Licensed Practical Nurse in Hollywood, FL

Q: What is Tyshawn Martin's NPI number?

The NPI number for Tyshawn Martin is 1255963450. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Q: What is Tyshawn Martin's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyshawn Martin was last updated on February 6, 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.

Active since February 06, 2020

5202 PLUNKETT ST, HOLLYWOOD, FL 33021(305) 788-7779 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tyshawn Martin Lpn NPPES

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

TYSHAWN MARTIN LPN (NPI 1255963450) is an individual licensed practical nurse in Hollywood, Florida, licensed in Florida (PN514280) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1255963450

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTYSHAWN MARTINCredential: LPN

Location Address5202 PLUNKETT STHollywood, FL 33021-8023

Mailing Address5202 Plunkett StHollywood, FL 33021-8023 · (305) 788-7779

Phone(305) 788-7779

Sole ProprietorYes

Enumeration DateFebruary 6, 2020

✔ NPI 1255963450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in FL · PN514280

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License PN514280 (FL)

Also ListedSpecialistTaxonomy 174400000X · License PN514280 (FL)

Also ListedProsthetistTaxonomy 224P00000X · License PN514280 (FL)

Also ListedSpecialist/Technologist, Health InformationTaxonomy 246Y00000X · License PN514280 (FL)

Also ListedHome HealthTaxonomy 251E00000X · License PN514280F (FL)

Also ListedHome InfusionTaxonomy 251F00000X · License PN514280 (FL)

Also ListedNursing CareTaxonomy 251J00000X · License PN514280 (FL)

Also ListedPrevention ProfessionalTaxonomy 405300000X · License PN514280 (FL)

5202 PLUNKETT ST, Hollywood, FL 33021

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Other Providers at the Same Location NPPES

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

CUSTOM CROWNS

Durable Medical Equipment & Medical Supplies (Customized Equipment)

5202 PLUNKETT ST
HOLLYWOOD, FL 33021

Broward County (754) 581-8402

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 Tyshawn Martin's NPI number?

The NPI number for Tyshawn Martin is 1255963450. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Where is Tyshawn Martin located?

Tyshawn Martin practices at 5202 Plunkett St, Hollywood, FL 33021. The listed phone number is (305) 788-7779.

What is Tyshawn Martin's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tyshawn Martin was last updated on February 6, 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.