MRS. STEPHANIE JEAN TISDAL (NPI# 1477029163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477029163 |
Entity Type | Individual |
Full Name | MRS. STEPHANIE JEAN TISDAL |
Credential | MSN, A-GNP-C |
Practice Address |
1824 Hillandale Rd Durham NC 27705-2650 |
Mailing Address |
8705 Brandon Station Rd Raleigh NC 27613-4307 |
Practice Telephone | 9193836107 |
Mailing Telephone | 4794625186 |
Enumeration Date | 2018-10-19 |
Last Update Date | 2018-10-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 5011137 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
508 Fulton St, Durham, NC 277053875 | 9192860411 |
Street Address |
1824 HILLANDALE RD |
City | DURHAM |
State | NC |
Zip Code | 27705-2650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982666046 | Carol Dashner Mcmorrow | Physician Assistant | 1824 Hillandale Rd, Durham, NC 27705-2650 | 2006-04-04 |
1013324110 | Durham Vamc | Clinic/Center | 1824 Hillandale Rd, Durham, NC 27705-2650 | 2014-07-21 |
1376779793 | Donald R Murphy Jr. | Family Medicine | 1824 Hillandale Rd, Vamc, Durham, NC 27705 | 2009-06-01 |
1902007198 | Nicole Nilmeier Grant | Internal Medicine | 1824 Hillandale Rd, Va Medical Center, Durham, NC 27705-2650 | 2007-05-29 |
1528168572 | Lori Ann Orlando | Internal Medicine | 1824 Hillandale Rd, Durham, NC 27705-2650 | 2006-09-22 |
1528174240 | Jenny Rebecca Legge | Pharmacist | 1824 Hillandale Rd, Durham, NC 27705-2650 | 2006-08-23 |
1114963691 | Mahlon David Grimsley | Physician Assistant | 1824 Hillandale Rd, Durham, NC 27705-2650 | 2006-06-21 |
1285683961 | Thomas Finley Newcomb | Internal Medicine | 1824 Hillandale Rd, Durham, NC 27705-2650 | 2006-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
Find all providers in zip 27705 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881214005 | Benjamin David Teague | Nurse Practitioner | 40 Medicine Circle Dumc 3094, Durham, NC 27710-0001 | 2020-04-17 |
1821633595 | Caitlin Brown Macgregor | Nurse Practitioner | 20 Duke Medicine Circle Oncology Treatment Center, Durham, NC 27710-0001 | 2019-11-16 |
1447891718 | Virginia Coe | Nurse Practitioner | Duke University Medical Center-heart Center, Durham, NC 27710-0001 | 2019-10-08 |
1417512302 | Linda Fares | Nurse Practitioner | 3714 Meriwether Dr Apt H, Durham, NC 27704-2876 | 2019-05-06 |
1144783705 | Modinat Adenike Adeleye | Nurse Practitioner | 3328 Ivey Wood Ln, Durham, NC 27703-4797 | 2019-04-10 |
1295234144 | Rosanne Branciforte | Nurse Practitioner | 1320 Arbutus St, Durham, CT 06422-1702 | 2018-02-06 |
1770092314 | Grace Anyango Otieno | Nurse Practitioner | 2907 Moorgate Ave, Durham, NC 27704-6037 | 2017-09-27 |
1578081501 | Samantha Leann Schmidtke | Nurse Practitioner | 30 Duke Medicine Ciricle Dumc 3872, Durham, NC 27710-3976 | 2017-08-30 |
1689196461 | Elizabeth Anne Romance | Nurse Practitioner | 2301 Erwin Rd Unit 3300, Durham, NC 27705-4699 | 2017-07-12 |
1003343757 | Jennifer Snyder | Nurse Practitioner | 621 Ashford Ln, Durham, NC 27713-7142 | 2017-05-12 |
Find all providers in DURHAM |
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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.