MRS. TISHA LYNETTE WARDRETT-NELSON MS
NPI 1205446242
Counselor - Professional in Virginia Beach, VA

Active since August 04, 2020PECOS Enrolled
780 LYNNHAVEN PKWY STE 370, VIRGINIA BEACH, VA 23452(757) 255-8845 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tisha Lynette Wardrett-nelson Ms NPPES

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

MRS. TISHA LYNETTE WARDRETT-NELSON MS (NPI 1205446242) is an individual professional provider in Virginia Beach, Virginia, licensed in Virginia (0704013075) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205446242
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. TISHA LYNETTE WARDRETT-NELSONCredential: MS
Location Address780 LYNNHAVEN PKWY STE 370Virginia Beach, VA 23452-7353
Mailing Address344 Adwood CtHampton, VA 23605-1450 · (757) 255-8845
Sole ProprietorNo
Enumeration DateAugust 4, 2020
NPPES CertifiedAugust 4, 2020
NPI 1205446242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0704013075
780 LYNNHAVEN PKWY STE 370, Virginia Beach, VA 23452

Other Names 1

Former Name (1)Tisha Lynette Wardrett

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Tisha Lynette Wardrett-nelson Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

Behavior Technician
780 LYNNHAVEN PKWY STE 370
VIRGINIA BEACH, VA 23452
Behavior Technician
780 LYNNHAVEN PKWY STE 370
VIRGINIA BEACH, VA 23452
Behavior Technician
780 LYNNHAVEN PKWY STE 370
VIRGINIA BEACH, VA 23452
Behavior Technician
780 LYNNHAVEN PKWY STE 370
VIRGINIA BEACH, VA 23452
Behavior Analyst
780 LYNNHAVEN PKWY STE 370
VIRGINIA BEACH, VA 23452
Community Based Residential Treatment Facility, Mental Illness
780 LYNNHAVEN PKWY STE 370
VIRGINIA BEACH, VA 23452
Counselor (Mental Health)
780 LYNNHAVEN PKWY STE 370
VIRGINIA BEACH, VA 23452

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 Tisha Wardrett-nelson's NPI number?

The NPI number for Tisha Wardrett-nelson is 1205446242. It was assigned to this individual provider in the NPPES registry on August 4, 2020. The provider is also known as Tisha Lynette Wardrett.

Where is Tisha Wardrett-nelson located?

Tisha Wardrett-nelson practices at 780 Lynnhaven Pkwy Ste 370, Virginia Beach, VA 23452. The listed phone number is (757) 255-8845.

What is Tisha Wardrett-nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tisha Wardrett-nelson enrolled in Medicare?

Yes. Tisha Wardrett-nelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tisha Wardrett-nelson was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.