MR. MICHAEL A TISDALE (NPI# 1831414796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831414796 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL A TISDALE |
| Credential | CP00003857 |
| Practice Address |
308 E. Young St. Elma WA 98541 |
| Mailing Address |
Po Box 477 Elma WA 98541-0477 |
| Practice Telephone | 3604822674 |
| Mailing Telephone | 3604822674 |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00003857 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376759894 | Michael Allen Tisdale | Massage Therapist | 11395 Sandra Dr, Walker, LA 70785-5915 | 2007-05-14 |
| Street Address |
308 E. YOUNG ST. |
| City | ELMA |
| State | WA |
| Zip Code | 98541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922323880 | Kimberly Ann Peters | Counselor | 308 E. Young St., Elma, WA 98541 | 2010-04-05 |
| 1144733114 | Lindey Lu Kaelin Ginther | Counselor | 308 E. Young St., Elma, WA 98541-9854 | 2017-11-13 |
| 1265945489 | Brock Dustin Pohl | Counselor | 308 E. Young St., Elma, WA 98541 | 2017-11-09 |
| 1366761462 | James Emmett Hansen | Registered Nurse | 308 E. Young St., Elma, WA 98541 | 2010-05-28 |
| 1790004893 | Pauline J Foster | Counselor | 308 E. Young St., Elma, WA 98541 | 2010-05-28 |
| 1396060901 | Sandra Ramsey Todd | Counselor | 308 E. Young St., Elma, WA 98541 | 2010-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021444 | Rabab Cheema | Student in an Organized Health Care Education/Training Program | Summit Pacific Family Medicine, 600 E. Main Street, Elma, WA 98541 | 2020-04-14 |
| 1164087896 | Jamie Christina Talley | Massage Therapist | 201 S. 3rd Street, Elma, WA 98541 | 2019-05-08 |
| 1306359377 | Brandy L Hahn | Counselor | 308 E. Young St, Elma, WA 98541 | 2017-11-13 |
| 1205349412 | Charli Loretta Jankord | Massage Therapist | 201 South 3rd Street, Elma, WA 98541 | 2017-11-09 |
| 1588194013 | Janel Lynn Lewis | Counselor | 575 E. Main Suite C, Elma, WA 98541 | 2017-06-18 |
| 1962931139 | Cole Robert Johnson | Counselor | 575 E Main Street, Elma, WA 98541 | 2017-06-09 |
| 1467776112 | Amy L Lystad | Counselor | 114 S. 5th St., Elma, WA 98541 | 2010-03-24 |
| 1649593336 | Maja C Ballew | Massage Therapist | 434 West Main Street, Elma, WA 98541 | 2010-03-09 |
| 1659603066 | Cristiana Maria Franklin | Counselor | 308 E. Young, Elma, WA 98541 | 2010-02-10 |
| 1437308319 | Rebecca Jane Blumberg | Massage Therapist | 304 W Main, Ste 8, Elma, WA 98541 | 2008-09-16 |
| Find all providers in zip 98541 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306359377 | Brandy L Hahn | Counselor | 308 E. Young St, Elma, WA 98541 | 2017-11-13 |
| 1922323880 | Kimberly Ann Peters | Counselor | 308 E. Young St., Elma, WA 98541 | 2010-04-05 |
| 1659603066 | Cristiana Maria Franklin | Counselor | 308 E. Young, Elma, WA 98541 | 2010-02-10 |
| 1750613162 | Melody Lynn Starkey | Counselor | 308 East Young, Elma, WA 98541-0477 | 2010-02-10 |
| 1558543454 | Charlene Abrahamson | Counselor | 308 E Young St, Elma, WA 98541 | 2007-12-03 |
| 1477604056 | Joanne I Wieser | Counselor | 411 N. 3rd St., Suite A3, Elma, WA 98541 | 2007-01-12 |
| 1144733114 | Lindey Lu Kaelin Ginther | Counselor | 308 E. Young St., Elma, WA 98541-9854 | 2017-11-13 |
| 1265945489 | Brock Dustin Pohl | Counselor | 308 E. Young St., Elma, WA 98541 | 2017-11-09 |
| 1790004893 | Pauline J Foster | Counselor | 308 E. Young St., Elma, WA 98541 | 2010-05-28 |
| 1396060901 | Sandra Ramsey Todd | Counselor | 308 E. Young St., Elma, WA 98541 | 2010-04-07 |
| Find all providers in ELMA | ||||
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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.