ANGELA TISDALE


Address: 2600 Marble Ave Ne, Albuquerque, NM 87106-2058
Phone: 5052720409

ANGELA TISDALE (NPI# 1326420308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326420308
Entity Type Individual
Full Name ANGELA TISDALE
Practice Address 2600 Marble Ave Ne
Albuquerque
NM 87106-2058
Mailing Address 3406 Oldenburg Ct Ne
Rio Rancho
NM 87144-6515
Practice Telephone 5052720409
Mailing Telephone 5059180090
Enumeration Date 2015-06-25
Last Update Date 2015-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
69797 NM Nursing Service Providers

Other Providers ANGELA TISDALE

NPI Name Taxonomy Address Enumeration
1508371014 Angela Sims Tisdale Nurse Practitioner 10203 Majestic Palm Cir Apt 102, Riverview, FL 33578-9440 2017-12-06

Office Location

Street Address 2600 MARBLE AVE NE
City ALBUQUERQUE
State NM
Zip Code 87106-2058

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114916566 Patricia Mari Hennessey Counselor 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 2005-10-18
1023623733 Joshua Brian Matta Registered Nurse 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 2020-09-09
1073122529 Tammy Ann Reeves Family Medicine 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 2020-07-29
1922623990 Valerie Bustos Registered Nurse 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 2020-06-15
1356964266 Molly Whitt Student in an Organized Health Care Education/Training Program 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 2020-05-27
1760001317 Katherine M Stoll Social Worker 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 2020-04-14
1154969111 Dustin Deon Truitt Counselor 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 2019-12-20
1750929568 Monica Talavera Peer Specialist 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 2019-12-12
1013554864 Christina L Weeks Case Manager/Care Coordinator 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 2019-11-27
1861038432 Heidi Ann Snyder I Registered Nurse 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 2019-11-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629679808 Jorge Licano Student in an Organized Health Care Education/Training Program Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2020-11-04
1730780032 Joseph Sanchez Student in an Organized Health Care Education/Training Program (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2020-11-03
1336746205 Evan Laub Pharmacist 2950 Central Ave. Sw, Albuquerque, NM 87106 2020-10-05
1487203154 Theresa Martinez Technician 5680 Avedon Dr. Se, Albuquerque, NM 87106 2019-09-05
1205300647 Louis Mayer II Specialist/Technologist 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 2019-01-18
1235633355 Terrena Grace Vigil Brady Occupational Therapist 1001 Yale Blvd, Albuquerque, NM 87106 2018-03-22
1205355195 Yaritza Ruiz Specialist/Technologist 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 2017-09-12
1457873382 Cynthia Bluhm Registered Nurse 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 2017-07-12
1295265882 Hallie Chancellor Behavior Technician 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 2017-06-15
1780111757 Jiana Hook Physical Medicine & Rehabilitation 1414 University Blvd. Se, Albuquerque, NM 87106 2017-05-22
Find all providers in zip 87106

Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720517006 Christine Margaret Sanchez Registered Nurse 700 2nd St. Nw, Albuquerque, NM 87102 2017-06-08
1497987044 Luxana Chanprakrit Registered Nurse 2552 Coors Blvd Nw, Albuquerque, NM 87120-2123 2009-08-17
1932372935 Debra Stanger Registered Nurse 8605 Vineyard Ridge Rd Ne, Albuquerque, NM 87122-2623 2008-04-10
1093937450 Pamela Rae Field Registered Nurse 5305 Mountain Rd Ne, Albuquerque, NM 87110-6417 2007-05-03
1356332852 Walter Kerry Viers Registered Nurse 500 Shelly Rd. S.w., Albuquerque, NM 87151-0001 2005-11-03
1881109866 Ashley Michelle Waring Registered Nurse 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 2017-12-12
1235652280 Crystal Dawn Payne Registered Nurse 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 2017-07-21
1679023972 Jill Martin Registered Nurse 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 2016-10-11
1366990541 Janice Beatrice Gilbert Registered Nurse 2551 Coors Blvd Nw, Albuquerque, NM 87120-1213 2016-09-15
1548693112 Ilene Marie Carmenaty Registered Nurse 1 University Blvd, Albuquerque, NM 87131-0001 2013-08-18
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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