TYSEN DEREK DAVIS
NPI 1497603856
Community Health Worker in Idaho Falls, ID

Active since March 20, 2026
2265 W BROADWAY ST, IDAHO FALLS, ID 83402(208) 524-7400(208) 524-8004 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tysen Derek Davis NPPES

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

TYSEN DEREK DAVIS (NPI 1497603856) is an individual community health worker in Idaho Falls, Idaho and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1497603856
Entity TypeIndividualMale
Primary Taxonomy172V00000X
Provider Legal NameTYSEN DEREK DAVIS
Location Address2265 W BROADWAY STIdaho Falls, ID 83402-2996
Mailing Address2265 W Broadway StIdaho Falls, ID 83402-2996 · (208) 524-7400 · Fax (208) 524-8004
Fax(208) 524-8004
Sole ProprietorNo
Enumeration DateMarch 20, 2026
NPPES CertifiedMarch 19, 2026
NPI 1497603856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
2265 W BROADWAY ST, Idaho Falls, ID 83402

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.

Social Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Social Worker (Clinical)
2265 W BROADWAY ST
IDAHO FALLS, ID 83402

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 Tysen Davis's NPI number?

The NPI number for Tysen Davis is 1497603856. It was assigned to this individual provider in the NPPES registry on March 20, 2026.

Where is Tysen Davis located?

Tysen Davis practices at 2265 W Broadway St, Idaho Falls, ID 83402. The listed phone number is (208) 524-7400.

What is Tysen Davis's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Tysen Davis was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.