TYRA HAWTHORNE
NPI 1619675139
Licensed Practical Nurse in Detroit, MI

Q: What is Tyra Hawthorne's NPI number?

The NPI number for Tyra Hawthorne is 1619675139. It was assigned to this individual provider in the NPPES registry on February 23, 2023.

Q: What is Tyra Hawthorne'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 Tyra Hawthorne was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 23, 2023

11464 NASHVILLE ST, DETROIT, MI 48205(313) 694-7290 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Tyra Hawthorne NPPES

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

TYRA HAWTHORNE (NPI 1619675139) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703122040) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1619675139

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTYRA HAWTHORNE

Location Address11464 NASHVILLE STDetroit, MI 48205-3237

Mailing Address11464 Nashville StDetroit, MI 48205-3237

Phone(313) 694-7290

Sole ProprietorNo

Enumeration DateFebruary 23, 2023

NPPES CertifiedFebruary 23, 2023

✔ NPI 1619675139 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 MI · 4703122040

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.

11464 NASHVILLE ST, Detroit, MI 48205

Open in Google Maps ↗

Other Identifiers 1

OtherH365809485592MI · Drivers License

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 Tyra Hawthorne's NPI number?

The NPI number for Tyra Hawthorne is 1619675139. It was assigned to this individual provider in the NPPES registry on February 23, 2023.

Where is Tyra Hawthorne located?

Tyra Hawthorne practices at 11464 Nashville St, Detroit, MI 48205. The listed phone number is (313) 694-7290.

What is Tyra Hawthorne'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 Tyra Hawthorne was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.