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BRANDI TISDALE
NPI 1336935121
Peer Specialist in Canadian, OK

Active since April 17, 2025
69 ARROWHEAD LOOP, CANADIAN, OK 74425(843) 325-3063 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandi Tisdale NPPES

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

BRANDI TISDALE (NPI 1336935121) is an individual peer specialist in Canadian, Oklahoma and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1336935121
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameBRANDI TISDALE
Location Address69 ARROWHEAD LOOPCanadian, OK 74425-5012
Mailing Address69 Arrowhead LoopCanadian, OK 74425-5012 · (843) 325-3063
Phone(843) 325-3063
Sole ProprietorNo
Enumeration DateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1336935121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
69 ARROWHEAD LOOP, Canadian, OK 74425
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Other Providers at the Same Location NPPES 20

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

JUSTIN DWAYNE ROSS
Substance Abuse Rehabilitation Facility
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (918) 339-5800
KALON JAMES TAYLOR
Substance Abuse Rehabilitation Facility
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (918) 339-5800
KAREN ELIZABETH SWEATT RN
Registered Nurse
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (918) 339-5800
MAX ALLEN JONES
Case Manager/Care Coordinator
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (918) 339-5800
KIMBERLY IRENE COOPER
Substance Abuse Rehabilitation Facility
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (918) 339-5800
AARON WALLIS
Community Health Worker
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (918) 339-5800
JANET T WATKINS
Substance Abuse Rehabilitation Facility
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (918) 424-6250
HENI AZZAM
Counselor (Addiction (Substance Use Disorder))
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (935) 995-1697

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 Brandi Tisdale's NPI number?

The NPI number for Brandi Tisdale is 1336935121. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Where is Brandi Tisdale located?

Brandi Tisdale practices at 69 Arrowhead Loop, Canadian, OK 74425. The listed phone number is (843) 325-3063.

What is Brandi Tisdale's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Brandi Tisdale was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.