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SHAWNER TYSON PHLEBOTOMIST
NPI 1376420570
Technician, Pathology - Phlebotomy in Ridgeland, MS

Active since August 19, 2025
665 S PEAR ORCHARD RD, RIDGELAND, MS 39157(601) 921-5081(601) 860-9834 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawner Tyson Phlebotomist NPPES

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

SHAWNER TYSON PHLEBOTOMIST (NPI 1376420570) is an individual phlebotomy provider in Ridgeland, Mississippi, licensed in Mississippi (063018-PWECW15312) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1376420570
Entity TypeIndividualFemale
Primary Taxonomy246RP1900X
Provider Legal NameSHAWNER TYSONCredential: PHLEBOTOMIST
Location Address665 S PEAR ORCHARD RDRidgeland, MS 39157-4861
Mailing Address5537 Highway 84Prentiss, MS 39474-4482 · (601) 441-8326 · Fax (601) 860-9834
Phone(601) 921-5081
Fax(601) 860-9834
Sole ProprietorYes
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1376420570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
License✔ Licensed in MS · 063018-PWECW15312
665 S PEAR ORCHARD RD, Ridgeland, MS 39157
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Other Providers at the Same Location NPPES 6

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

JESSICA DENISE TATUM LCSW
Social Worker (Clinical)
665 S PEAR ORCHARD RD
RIDGELAND, MS 39157
Madison County (601) 345-1906
SPEECH DEPOT
Speech-Language Pathologist
665 S PEAR ORCHARD RD, SUITE 106-185
RIDGELAND, MS 39157
Madison County (601) 757-6954
DR. CHASE MASCARO DDS
Dentist (General Practice)
665 S PEAR ORCHARD RD
RIDGELAND, MS 39157
Madison County (601) 206-1112
MINDFUL THOUGHTS LLC
Social Worker (Clinical)
665 S PEAR ORCHARD RD
RIDGELAND, MS 39157
Madison County (601) 316-8046
RIDGELAND SPORTS MEDICINE & REHAB, INC
Clinic/Center (Physical Therapy)
665 S PEAR ORCHARD RD, SUITE 114
RIDGELAND, MS 39157
Madison County (601) 956-1211
MEDICOMP PHYSICAL THERAPY RIDGELAND, INC.
Physical Therapist
665 S PEAR ORCHARD RD, SUITE 114
RIDGELAND, MS 39157
Madison County (601) 956-1211

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 Shawner Tyson's NPI number?

The NPI number for Shawner Tyson is 1376420570. It was assigned to this individual provider in the NPPES registry on August 19, 2025.

Where is Shawner Tyson located?

Shawner Tyson practices at 665 S Pear Orchard Rd, Ridgeland, MS 39157. The listed phone number is (601) 921-5081.

What is Shawner Tyson's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

When was this NPI record last updated?

The NPPES record for Shawner Tyson was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.