TYSEN DEREK DAVIS
NPI 1497603856
Community Health Worker in Idaho Falls, ID
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
Specialties & Licenses
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.
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.