MARY TISDALE (NPI# 1992034532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992034532 |
| Entity Type | Individual |
| Full Name | MARY TISDALE |
| Credential | CNM |
| Practice Address |
501 Nw Lake Whitney Pl Ste 106 Port St Lucie FL 34986-1615 |
| Practice Telephone | 7727858000 |
| Practice Fax Number | 7728790436 |
| Mailing Telephone | 7727858000 |
| Mailing Fax Number | 7728790436 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | APRN11000699 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | 209007925 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 9337001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639570898 | Mary E Tisdale | Licensed Practical Nurse | 215 Meadow Farm S, North Chili, NY 14514-1311 | 2014-09-08 |
| Street Address |
501 NW LAKE WHITNEY PL STE 106 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34986-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477720381 | Evelyn Haley | Registered Nurse | 501 Nw Lake Whitney Pl Ste 106, Port St Lucie, FL 34986-1615 | 2008-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| Find all providers in zip 34986 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669920641 | Margaret Ann Clutch | Advanced Practice Midwife | 10771 Sw Trade St, Port St Lucie, FL 34987-2119 | 2016-09-19 |
| 1699755389 | Jylynn Irene Krentz | Advanced Practice Midwife | 330 Holly Ave, Port St Lucie, FL 34952-1338 | 2006-01-19 |
| 1558352427 | Sarah Clay | Advanced Practice Midwife | 1871 Se Tiffany Ave, Suite 200, Port St Lucie, FL 34952-7585 | 2005-10-31 |
| 1467096321 | Stephanie W Brooker | Advanced Practice Midwife | 10771 Sw Trade St, Port St Lucie, FL 34987-2119 | 2019-11-04 |
| 1851829923 | Tiffany Nina Calabro | Advanced Practice Midwife | 1871 Se Tiffany Ave Ste 200, Port St Lucie, FL 34952-7585 | 2017-06-01 |
| 1598163347 | Jennifer Mann Pruitt | Advanced Practice Midwife | 1871 Se Tiffany Ave, Suite 200, Port St Lucie, FL 34952-7585 | 2014-12-10 |
| 1396083069 | Heather Alison Brigance | Advanced Practice Midwife | 1871 Se Tiffany Ave, Suite 200, Port St Lucie, FL 34952-7585 | 2013-01-30 |
| 1447219480 | Charlyn A. Coleman | Advanced Practice Midwife | 1871 Se Tiffany Ave, Suite 200, Port St Lucie, FL 34952-7585 | 2006-03-20 |
| 1366411522 | Jane N. Lennon | Advanced Practice Midwife | 1871 Se Tiffany Ave, Suite 200, Port St Lucie, FL 34952-7585 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898301 | Concierge Women's Care, LLC | Advanced Practice Midwife | 10107 Authors Way, Orlando, FL 32832-6349 | 2020-10-15 |
| 1740898956 | Kathi Elizabeth Duchaine | Advanced Practice Midwife | 3150 N Wickham Rd Ste 1, Melbourne, FL 32935-2322 | 2020-07-14 |
| 1497372601 | Rachel Viglione | Advanced Practice Midwife | 1421 Players Club Cir, Gulf Breeze, FL 32563-3533 | 2020-07-03 |
| 1316564081 | Irina Bresler | Advanced Practice Midwife | 2297 Ne 121st St, North Miami, FL 33181-2916 | 2020-06-29 |
| 1437779246 | Brandi R Haugabook | Advanced Practice Midwife | 700 Central Ave Ste 400, St Petersburg, FL 33701-3600 | 2020-04-22 |
| 1871133439 | Valerie Dawn Ramsay | Advanced Practice Midwife | 321 San Carlo Rd, Davenport, FL 33896-7041 | 2020-01-13 |
| 1013568658 | Miami Certified Nurse Midwives | Advanced Practice Midwife | 1401 Sunset Dr, Miami, FL 33143-5824 | 2019-09-25 |
| 1093368045 | Aleesa Junel Ponce | Advanced Practice Midwife | 661 E Altamonte Dr Ste 318&328, Altamonte Springs, FL 32701-5105 | 2019-07-18 |
| 1356809305 | Skyler J Jacobs | Advanced Practice Midwife | 2352 Bruce B Downs Blvd Ste 301, Wesley Chapel, FL 33544-9203 | 2019-03-08 |
| 1265901623 | Bliss Birth and Wellness Center Inc. | Advanced Practice Midwife | 2717 Poinsettia Ave, West Palm Beach, FL 33407-5503 | 2018-11-15 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34986 |
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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.