HARLEY ANN-RENEE TISDALE
NPI 1114637931
Student in an Organized Health Care Education/Training Program in Summerville, SC

Q: What is Harley Tisdale's NPI number?

The NPI number for Harley Tisdale is 1114637931. It was assigned to this individual provider in the NPPES registry on December 2, 2022.

Q: What is Harley Tisdale's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Harley Tisdale was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 02, 2022

126 SPRING MEADOWS DR, SUMMERVILLE, SC 29485(843) 906-6449 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Harley Ann-renee Tisdale NPPES

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

HARLEY ANN-RENEE TISDALE (NPI 1114637931) is an individual student in an organized health care education/training program in Summerville, South Carolina and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1114637931

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameHARLEY ANN-RENEE TISDALE

Location Address126 SPRING MEADOWS DRSummerville, SC 29485-8792

Mailing Address126 Spring Meadows DrSummerville, SC 29485-8792 · (843) 906-6449

Phone(843) 906-6449

Sole ProprietorNo

Enumeration DateDecember 2, 2022

NPPES CertifiedDecember 2, 2022

✔ NPI 1114637931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

126 SPRING MEADOWS DR, Summerville, SC 29485

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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 Harley Tisdale's NPI number?

The NPI number for Harley Tisdale is 1114637931. It was assigned to this individual provider in the NPPES registry on December 2, 2022.

Where is Harley Tisdale located?

Harley Tisdale practices at 126 Spring Meadows Dr, Summerville, SC 29485. The listed phone number is (843) 906-6449.

What is Harley 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 Harley Tisdale was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.