MARY E TISDALE LPN
NPI 1639570898
Licensed Practical Nurse in North Chili, NY

Active since September 08, 2014
215 MEADOW FARM S, NORTH CHILI, NY 14514(585) 694-3472 Get Directions Write a Review

NPPES record last updated: September 8, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mary E Tisdale Lpn NPPES

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

MARY E TISDALE LPN (NPI 1639570898) is an individual licensed practical nurse in North Chili, New York, licensed in New York (282611) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1639570898
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARY E TISDALECredential: LPN
Location Address215 MEADOW FARM SNorth Chili, NY 14514-1311
Mailing Address215 Meadow Farm SNorth Chili, NY 14514-1311 · (585) 694-3472
Sole ProprietorYes
Enumeration DateSeptember 8, 2014
NPI 1639570898 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 NY · 282611
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.
215 MEADOW FARM S, North Chili, NY 14514

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 Mary Tisdale's NPI number?

The NPI number for Mary Tisdale is 1639570898. It was assigned to this individual provider in the NPPES registry on September 8, 2014.

Where is Mary Tisdale located?

Mary Tisdale practices at 215 Meadow Farm S, North Chili, NY 14514. The listed phone number is (585) 694-3472.

What is Mary 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 Mary Tisdale was last updated on September 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.