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Active NPI 1477426229 Individual Practitioner Female Practitioner

Tye Himba Pamoja Sly

Licensed Practical Nurse • Highland Park, MI

Professional Overview & Biography Verified Profile Summary

Tye Himba Sly is a registered healthcare professional specializing in Licensed Practical Nurse in Highland Park, MI. Practice services are available at 12501 HAMILTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12501 Hamilton Ave

Highland Park, MI 482033243

Telephone 3138651580
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Highland Park, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
39 Specialists

Practicing in Highland Park, MI (4550 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-27
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703083009

An individual 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Carrie Daugherty , FAODP

Counselor - Addiction (Substance Use Disorder)

NPI 1013194166
Natalie Maziarz

Registered Nurse

NPI 1023835873
Angela Hunt

Licensed Practical Nurse

NPI 1033867197
Heather Browner

Counselor - Addiction (Substance Use Disorder)

NPI 1083162101
Kelsey Robinson

Counselor - Addiction (Substance Use Disorder)

NPI 1093258972
Catrina Weaver

Licensed Practical Nurse

NPI 1104388537

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 27, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2025

Registered at 12501 HAMILTON AVE, HIGHLAND PARK, MI 482033243 (Tel: 3138651580)

📍
Updated Business Mailing Address September 27, 2025

Registered at 12501 HAMILTON AVE, HIGHLAND PARK, MI 482033243

👤
Provider Name / Credentials Updated September 27, 2025

Recorded as TYE HIMBA SLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2025

Licensed Practical Nurse (License #4703083009 in MI)

🟢
Initial NPI Registration & Enumeration September 27, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477426229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2025
Last Update: September 27, 2025
Sole Proprietor: No

Mailing Address

12501 Hamilton Ave

Highland Park, MI 482033243

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.