What is Tyshawn Wise's NPI number?

Tyshawn Wise's National Provider Identifier (NPI) is 1003409483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tyshawn Wise's specialty?

Tyshawn Wise is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).

Where is Tyshawn Wise located?

Tyshawn Wise's practice location on file with NPPES is 2770 S Maryland Pkwy, Las Vegas, NV 89109-1554.

What is Tyshawn Wise's phone number?

The practice phone number listed in the NPPES registry for Tyshawn Wise is (702) 463-7779.

Is Tyshawn Wise's NPI active?

Yes — Tyshawn Wise's NPI (1003409483) is active in the NPPES registry as of the last update on 2021-02-16.

IndividualActive

Tyshawn Wise

NPI 1003409483 · Personal Care Attendant · Las Vegas, NV

Tyshawn Wise is a Personal Care Attendant provider in Las Vegas, NV (NPI 1003409483).

Provider details

NPI number: 1003409483
Entity type: Individual
Primary specialty: Personal Care AttendantNursing Service Related Providers
Sex: Male
Sole proprietor: Yes

Practice location

2770 S Maryland Pkwy

Las Vegas, NV 89109-1554

Phone: (702) 463-7779

Street-level locationGet directions

More NV providers

Mailing address

2770 S Maryland Pkwy

Las Vegas, NV 89109-1554

Specialties & taxonomies

Personal Care AttendantPrimary3747P1801X
Nursing Service Related Providers

Profile Score

Established profile(57/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2021-02-16
Last updated: 2021-02-16
Certified: 2021-02-16

Frequently asked questions

What is Tyshawn Wise's NPI number?: Tyshawn Wise's National Provider Identifier (NPI) is 1003409483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Tyshawn Wise's specialty?: Tyshawn Wise is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).
Where is Tyshawn Wise located?: Tyshawn Wise's practice location on file with NPPES is 2770 S Maryland Pkwy, Las Vegas, NV 89109-1554.
What is Tyshawn Wise's phone number?: The practice phone number listed in the NPPES registry for Tyshawn Wise is (702) 463-7779.
Is Tyshawn Wise's NPI active?: Yes — Tyshawn Wise's NPI (1003409483) is active in the NPPES registry as of the last update on 2021-02-16.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions