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WELDON TISDALE JR.
NPI 1003420647
Case Manager/Care Coordinator in Tulsa, OK

Active since September 01, 2020
3606 N MLK JR BLVD, TULSA, OK 74106(918) 949-4212(918) 949-4299 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Weldon Tisdale Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELDON TISDALE JR. (NPI 1003420647) is an individual case manager/care coordinator provider in Tulsa, Oklahoma and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1003420647
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameWELDON TISDALE JR.
Location Address3606 N MLK JR BLVDTulsa, OK 74106-6447
Mailing Address3606 N Mlk Jr BlvdTulsa, OK 74106-6447 · (918) 949-4212 · Fax (918) 949-4299
Phone(918) 949-4212
Fax(918) 949-4299
Sole ProprietorYes
Enumeration DateSeptember 1, 2020
NPPES CertifiedSeptember 1, 2020
✔ NPI 1003420647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3606 N MLK JR BLVD, Tulsa, OK 74106
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANET PITT RN, AGNP-C
Registered Nurse
3606 N MLK JR BLVD
TULSA, OK 74106
Tulsa County (918) 728-8512
KATRINA HUBBARD LPC-US
Counselor (Mental Health)
3606 N MLK JR BLVD
TULSA, OK 74106
Tulsa County (918) 949-4212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Weldon Tisdale's NPI number?

The NPI number for Weldon Tisdale is 1003420647. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Where is Weldon Tisdale located?

Weldon Tisdale practices at 3606 N Mlk Jr Blvd, Tulsa, OK 74106. The listed phone number is (918) 949-4212.

What is Weldon Tisdale's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Weldon Tisdale was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.