ANGELA SIMS TISDALE (NPI# 1508371014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508371014 |
| Entity Type | Individual |
| Full Name | ANGELA SIMS TISDALE |
| Credential | ARNP |
| Practice Address |
10203 Majestic Palm Cir Apt 102 Riverview FL 33578-9440 |
| Mailing Address |
6804 Cecelia Dr New Port Richey FL 34653-4935 |
| Practice Telephone | 2514554464 |
| Mailing Telephone | 7272320644 |
| Mailing Fax Number | 8885460488 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2018-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
9464937 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
9464937 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326420308 | Angela Tisdale | Registered Nurse | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2015-06-25 |
| Street Address |
10203 MAJESTIC PALM CIR APT 102 |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 33578-9440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371015 | Carnegie Cares Home Care & Services LLC | In Home Supportive Care | 1004 Rose Petal Place, Riverview, FL 33578 | 2020-09-21 |
| 1437762697 | Learn 2 Speak LLC | Specialist/Technologist | 10310 Granada Green Court, Riverview, FL 33578 | 2020-08-27 |
| 1073138012 | Limitless Therapy, LLC. | Physical Therapist | 8637 Turnstone Shore Lane, Riverview, FL 33578 | 2020-06-16 |
| 1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
| 1821628561 | Devin Jorge Santiago | Psychiatry & Neurology | 725 Primera Blvd Computer Lab, Lake Mary, FL 33578 | 2020-01-22 |
| 1154963759 | Kenneshia M Martin | Physical Therapy Assistant | 13135 Early Run Lane, Riverview, FL 33578 | 2019-10-15 |
| 1376015180 | Dentists of Riverview, Pa | Dentist | 13123 S. Us Hwy 301, Riverview, FL 33578 | 2018-12-19 |
| 1285102152 | Nothing About You Without You, LLC | Case Management | 10428 Yellow Spice Ct, Riverview, FL 33578 | 2018-11-08 |
| 1053887521 | Natasha Dickens | Counselor | 5523 Legacy Crescent Place, Unit 204, Riverview, FL 33578 | 2018-10-22 |
| 1376025965 | Helaina Dollins | Specialist/Technologist | 3347 Magnolia Springs Drive, Apt 203, Riverview, FL 33578 | 2018-08-30 |
| Find all providers in zip 33578 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356819882 | Vanessa Wadsworth | Nurse Practitioner | 10726 Ketchum Valley Dr, Riverview, FL 33579-7185 | 2018-11-02 |
| 1295133866 | Sarah Rae Cash | Nurse Practitioner | 6332 Us 301 S, Riverview, FL 33578-3829 | 2014-12-15 |
| 1730280611 | Melissa Mcallister Hutton | Nurse Practitioner | 6223 Watermark Dr, Apt. 104, Riverview, FL 33578-3977 | 2006-09-26 |
| 1376564195 | Tish I'renee Carlton | Nurse Practitioner | 10634 Shady Preserve Dr, Riverview, FL 33579-9310 | 2006-07-21 |
| 1699199000 | Cecilia Meg O'connor | Nurse Practitioner | 19020 Fort St, Riverview, MI 48193-6701 | 2014-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193292 | Paulette Vital-herne | Nurse Practitioner | 4449 Old Highway 41 S, Sun City, FL 33586-9700 | 2020-10-26 |
| 1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1851998082 | Sanon Edmond | Nurse Practitioner | 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 | 2020-10-01 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1780291526 | Ilmary De Los Angeles Jimenez | Nurse Practitioner | 7909 Biltmore Blvd, Miramar, FL 33023-5829 | 2020-09-25 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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| 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.