MICHELE TISDALE AU.D CCC-A
NPI 1407744543
Audiologist in Louisville, KY

Q: What is Michele Tisdale's NPI number?

The NPI number for Michele Tisdale is 1407744543. It was assigned to this individual provider in the NPPES registry on June 26, 2025.

Q: What is Michele Tisdale's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Q: When was this NPI record last updated?

The NPPES record for Michele Tisdale was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 26, 2025

117 E KENTUCKY ST, LOUISVILLE, KY 40203(502) 584-3573(502) 515-3325 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michele Tisdale Au.d Ccc-a NPPES

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

MICHELE TISDALE AU.D CCC-A (NPI 1407744543) is an individual audiologist in Louisville, Kentucky, licensed in Kentucky (300505) and active in the NPI registry since June 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1407744543

Entity TypeIndividualFemale

Primary Taxonomy231H00000X

Provider Legal NameMICHELE TISDALECredential: AU.D CCC-A

Location Address117 E KENTUCKY STLouisville, KY 40203-2793

Mailing Address111 E Kentucky StLouisville, KY 40203-2793 · (502) 584-3573 · Fax (502) 515-3325

Phone(502) 584-3573

Fax(502) 515-3325

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 26, 2025

NPPES CertifiedJune 26, 2025

✔ NPI 1407744543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers

Taxonomy Code231H00000X

License✔ Licensed in KY · 300505

Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

117 E KENTUCKY ST, Louisville, KY 40203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michele Tisdale Au.d Ccc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012424138

PECOS Enrollment IDI20250724002005

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.

LAUREN COLEMAN M.A. CCC-SLP

Speech-Language Pathologist