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ANTHONY TISDALE
NPI 1588245690
Case Manager/Care Coordinator in Shreveport, LA

Active since April 20, 2021
5704 SWEETWATER DR, SHREVEPORT, LA 71119(318) 402-2418 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 16, 2023, Apr 20, 2021 (2 updates tracked since 2021).

About Anthony Tisdale NPPES

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

ANTHONY TISDALE (NPI 1588245690) is an individual case manager/care coordinator provider in Shreveport, Louisiana and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1588245690
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameANTHONY TISDALE
Location Address5704 SWEETWATER DRShreveport, LA 71119-4018
Mailing Address5704 Sweetwater DrShreveport, LA 71119-4018 · (318) 402-2418
Phone(318) 402-2418
Sole ProprietorNo
Enumeration DateApril 20, 2021
Last NPPES UpdateMarch 16, 20232 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1588245690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
5704 SWEETWATER DR, Shreveport, LA 71119
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Other Providers at the Same Location NPPES

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

INTEGRATIVE HEALTHCARE SOLUTIONS, LLC
Nurse Practitioner (Psychiatric/Mental Health)
5704 SWEETWATER DR
SHREVEPORT, LA 71119
Caddo Parish (318) 506-1994

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 Anthony Tisdale's NPI number?

The NPI number for Anthony Tisdale is 1588245690. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Anthony Tisdale located?

Anthony Tisdale practices at 5704 Sweetwater Dr, Shreveport, LA 71119. The listed phone number is (318) 402-2418.

What is Anthony 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 Anthony Tisdale was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.