MS. AMY J. TISDALE LPN
NPI 1245463199
Licensed Practical Nurse in Waupun, WI

Q: What is Amy Tisdale's NPI number?

The NPI number for Amy Tisdale is 1245463199. It was assigned to this individual provider in the NPPES registry on August 26, 2009.

Q: What is Amy Tisdale's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Tisdale was last updated on August 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 August 26, 2009

509 MAXON ST, WAUPUN, WI 53963(920) 324-3467 Get Directions Write a Review

NPPES record last updated: August 26, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Amy J. Tisdale Lpn NPPES

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

MS. AMY J. TISDALE LPN (NPI 1245463199) is an individual licensed practical nurse in Waupun, Wisconsin, licensed in Wisconsin (33107031) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1245463199

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. AMY J. TISDALECredential: LPN

Location Address509 MAXON STWaupun, WI 53963-1952

Mailing Address509 Maxon StWaupun, WI 53963-1952 · (920) 324-3467

Phone(920) 324-3467

Sole ProprietorNo

Enumeration DateAugust 26, 2009

✔ NPI 1245463199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in WI · 33107031

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

509 MAXON ST, Waupun, WI 53963

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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 Amy Tisdale's NPI number?

The NPI number for Amy Tisdale is 1245463199. It was assigned to this individual provider in the NPPES registry on August 26, 2009.

Where is Amy Tisdale located?

Amy Tisdale practices at 509 Maxon St, Waupun, WI 53963. The listed phone number is (920) 324-3467.

What is Amy Tisdale's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Amy Tisdale was last updated on August 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.