What is Tysen Davis's NPI number?

Tysen Davis's National Provider Identifier (NPI) is 1497603856, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tysen Davis's specialty?

Tysen Davis is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Tysen Davis located?

Tysen Davis's practice location on file with NPPES is 2265 W Broadway St, Idaho Falls, ID 83402-2996.

What is Tysen Davis's phone number?

The practice phone number listed in the NPPES registry for Tysen Davis is (208) 524-7400.

Is Tysen Davis's NPI active?

Yes — Tysen Davis's NPI (1497603856) is active in the NPPES registry as of the last update on 2026-03-20.

IndividualActive

Tysen Davis

NPI 1497603856 · Community Health Worker · Idaho Falls, ID

Tysen Davis is a Community Health Worker provider in Idaho Falls, ID (NPI 1497603856).

Provider details

NPI number: 1497603856
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Basic profile(46/100 index)

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

Registry tenure38% of score
Under 1 yr in 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.

Practice location

2265 W Broadway St

Idaho Falls, ID 83402-2996

Phone: (208) 524-7400

Fax: (208) 524-8004

Street-level locationGet directions

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Mailing address