MS. NANCY ELIZABETH TISDEL


Address: 615 E Lincoln St, Las Vegas, NM 87701-4502
Phone: 5054268095

MS. NANCY ELIZABETH TISDEL (NPI# 1770891962) 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) 1770891962
Entity Type Individual
Full Name MS. NANCY ELIZABETH TISDEL
Credential LMHC
Practice Address 615 E Lincoln St
Las Vegas
NM 87701-4502
Practice Telephone 5054268095
Practice Fax Number 8775435897
Mailing Telephone 5054268095
Mailing Fax Number 8775435897
Enumeration Date 2010-09-22
Last Update Date 2010-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
0120621 NM Behavioral Health & Social Service Providers

Office Location

Street Address 615 E LINCOLN ST
City LAS VEGAS
State NM
Zip Code 87701-4502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083769350 Mary Adelaide Simpson Speech-Language Pathologist 615 E Lincoln St, Las Vegas, NM 87701-4502 2007-01-24
1730337262 Robin Lee Woolley Counselor 615 E Lincoln St, Las Vegas, NM 87701-4502 2008-09-09
1598957078 Debra Ann Hickethier Speech-Language Pathologist 615 E Lincoln St, Las Vegas, NM 87701-4502 2007-08-17
1043436538 Cynthia G Rank Ballas Counselor 615 E Lincoln St, Las Vegas, NM 87701-4502 2007-04-17
1548486046 Rudy R Castellano Counselor 615 E Lincoln St, Las Vegas, NM 87701-4502 2007-04-17
1760608277 Deanna L Roybal Physical Therapy Assistant 615 E Lincoln St, Las Vegas, NM 87701-4502 2007-04-17
1487870986 Meredith Green Speech-Language Pathologist 615 E Lincoln St, Las Vegas, NM 87701-4502 2007-04-17
1063531838 Marian Shapiro Speech-Language Pathologist 615 E Lincoln St, Las Vegas, NM 87701-4502 2007-03-29
1205955143 Marian M Miller Occupational Therapist 615 E Lincoln St, Las Vegas, NM 87701-4502 2007-03-29
1215056007 Linda Elian Occupational Therapist 615 E Lincoln St, Las Vegas, NM 87701-4502 2007-03-29
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 87701

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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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