1. Home
  2. Directory
  3. Virginia
  4. North Chesterfield
  5. Specialist
  6. NPI Profile

LATIA TISDALE
NPI 1699307520
Specialist in North Chesterfield, VA

Active since February 08, 2020
2520 PROFESSIONAL RD STE D, NORTH CHESTERFIELD, VA 23235(804) 601-4447 Get Directions Write a Review

NPPES record last updated: February 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Latia Tisdale NPPES

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

LATIA TISDALE (NPI 1699307520) is an individual specialist in North Chesterfield, Virginia, licensed in Virginia (1204019942) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1699307520
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLATIA TISDALE
Location Address2520 PROFESSIONAL RD STE DNorth Chesterfield, VA 23235-3267
Mailing Address6313 Calavetti DrNorth Chesterfield, VA 23234-4180 · (804) 405-0009
Phone(804) 601-4447
Sole ProprietorYes
Enumeration DateFebruary 8, 2020
✔ NPI 1699307520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 1204019942
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2520 PROFESSIONAL RD STE D, North Chesterfield, VA 23235
Open in Google Maps ↗

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 Latia Tisdale's NPI number?

The NPI number for Latia Tisdale is 1699307520. It was assigned to this individual provider in the NPPES registry on February 8, 2020.

Where is Latia Tisdale located?

Latia Tisdale practices at 2520 Professional Rd Ste D, North Chesterfield, VA 23235. The listed phone number is (804) 601-4447.

What is Latia Tisdale's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Latia Tisdale was last updated on February 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.