KATIJA TYSON
NPI 1518616002
Licensed Practical Nurse in Middletown, NY

Q: What is Katija Tyson's NPI number?

The NPI number for Katija Tyson is 1518616002. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Q: What is Katija Tyson'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 Katija Tyson was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 22, 2022

117 WATKINS AVE, MIDDLETOWN, NY 10940(845) 239-1726 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Katija Tyson NPPES

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

KATIJA TYSON (NPI 1518616002) is an individual licensed practical nurse in Middletown, New York, licensed in New York (333097) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1518616002

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKATIJA TYSON

Location Address117 WATKINS AVEMiddletown, NY 10940-4518

Mailing Address117 Watkins AveMiddletown, NY 10940-4518

Phone(845) 239-1726

Sole ProprietorYes

Enumeration DateMarch 22, 2022

NPPES CertifiedMarch 22, 2022

✔ NPI 1518616002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 333097

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.

117 WATKINS AVE, Middletown, NY 10940

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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 Katija Tyson's NPI number?

The NPI number for Katija Tyson is 1518616002. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Katija Tyson located?

Katija Tyson practices at 117 Watkins Ave, Middletown, NY 10940. The listed phone number is (845) 239-1726.

What is Katija Tyson'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 Katija Tyson was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.