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RACHELLE-MARIE TISDALE DO
NPI 1104322585
Student in an Organized Health Care Education/Training Program in Mesa, AZ

Active since April 04, 2018
10238 E HAMPTON AVE STE 508, MESA, AZ 85209(480) 358-6187(480) 833-8313 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2022, May 13, 2022 (2 updates tracked since 2022).

About Rachelle-marie Tisdale Do NPPES

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

RACHELLE-MARIE TISDALE DO (NPI 1104322585) is an individual student in an organized health care education/training program in Mesa, Arizona and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1104322585
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRACHELLE-MARIE TISDALECredential: DO
Location Address10238 E HAMPTON AVE STE 508Mesa, AZ 85209-3321
Mailing Address10238 E Hampton Ave Ste 508Mesa, AZ 85209-3321 · (480) 358-6187 · Fax (480) 833-8313
Phone(480) 358-6187
Fax(480) 833-8313
Sole ProprietorNo
Enumeration DateApril 4, 2018
Last NPPES UpdateJuly 13, 20222 updates tracked since enumeration
NPPES CertifiedJune 2, 2022
✔ NPI 1104322585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10238 E HAMPTON AVE STE 508, Mesa, AZ 85209
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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.

TRAVIS FISHER MD
Internal Medicine
10238 E HAMPTON AVE STE 508
MESA, AZ 85209
Maricopa County (480) 834-7546
SUSAN GEROLD-TERRAZA FNP
Nurse Practitioner (Family)
10238 E HAMPTON AVE STE 508
MESA, AZ 85209
Maricopa County (480) 834-7546

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 Rachelle-marie Tisdale's NPI number?

The NPI number for Rachelle-marie Tisdale is 1104322585. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Rachelle-marie Tisdale located?

Rachelle-marie Tisdale practices at 10238 E Hampton Ave Ste 508, Mesa, AZ 85209. The listed phone number is (480) 358-6187.

What is Rachelle-marie Tisdale's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Rachelle-marie Tisdale was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.