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KELSEY A TISDALE
NPI 1366337164
Case Manager/Care Coordinator in Washington, DC

Active since June 11, 2025
1629 K ST NW STE 1100, WASHINGTON, DC 20006(202) 919-1137 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelsey A Tisdale NPPES

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

KELSEY A TISDALE (NPI 1366337164) is an individual case manager/care coordinator provider in Washington, District Of Columbia and active in the NPI registry since June 2025. She maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1366337164
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKELSEY A TISDALE
Location Address1629 K ST NW STE 1100Washington, DC 20006-1640
Mailing Address1629 K St Nw Ste 1100Washington, DC 20006-1640 · (202) 919-1137
Phone(202) 919-1137
Sole ProprietorNo
Enumeration DateJune 11, 2025
NPPES CertifiedJune 11, 2025
✔ NPI 1366337164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1629 K ST NW STE 1100, Washington, DC 20006
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Secondary Practice Location 1

Location 12224 1st St NWWashington, DC 20001-1016 · Phone (202) 919-1137

Other Providers at the Same Location NPPES 17

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

HAILIE MAIYA WILSON RN
Registered Nurse
1629 K ST NW STE 1100
WASHINGTON, DC 20006
District of Columbia (202) 745-0073
WALTER KWEH LPN
Licensed Practical Nurse
1629 K ST NW STE 1100
WASHINGTON, DC 20006
District of Columbia (202) 745-0073
TONI SMITH
Case Manager/Care Coordinator
1629 K ST NW STE 1100
WASHINGTON, DC 20006
District of Columbia (202) 745-0073
DANIEL MERINO
Case Manager/Care Coordinator
1629 K ST NW STE 1100
WASHINGTON, DC 20006
District of Columbia (202) 745-0073
KIRA ELISE REDMOND
Case Manager/Care Coordinator
1629 K ST NW STE 1100
WASHINGTON, DC 20006
District of Columbia (202) 745-0073
NASSYM KAVEZADE
Social Worker
1629 K ST NW STE 1100
WASHINGTON, DC 20006
District of Columbia (202) 745-0073
FRANKLIN A AMBOMU
Case Manager/Care Coordinator
1629 K ST NW STE 1100
WASHINGTON, DC 20006
District of Columbia (202) 320-8182
LAKSHMI MENON
Case Manager/Care Coordinator
1629 K ST NW STE 1100
WASHINGTON, DC 20006
District of Columbia (202) 745-0073

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 Kelsey Tisdale's NPI number?

The NPI number for Kelsey Tisdale is 1366337164. It was assigned to this individual provider in the NPPES registry on June 11, 2025.

Where is Kelsey Tisdale located?

Kelsey Tisdale practices at 1629 K St NW Ste 1100, Washington, DC 20006. The listed phone number is (202) 919-1137.

What is Kelsey Tisdale's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Kelsey Tisdale was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.