TISA SALAHUD-DIN
NPI 1720787682
Registered Nurse in Fort Wayne, IN

Q: What is Tisa Salahud-din's NPI number?

The NPI number for Tisa Salahud-din is 1720787682. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Q: What is Tisa Salahud-din's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tisa Salahud-din was last updated on March 1, 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.

Active since March 01, 2023

2121 LAKE AVENUE, FORT WAYNE, IN 46805(260) 426-5431(260) 421-1092 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tisa Salahud-din NPPES

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

TISA SALAHUD-DIN (NPI 1720787682) is an individual registered nurse in Fort Wayne, Indiana, licensed in Indiana (28175839A) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1720787682

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameTISA SALAHUD-DIN

Location Address2121 LAKE AVENUEFort Wayne, IN 46805-5100

Mailing Address2121 Lake AveFort Wayne, IN 46805-5100 · (260) 426-5431 · Fax (260) 421-1092

Phone(260) 426-5431

Fax(260) 421-1092

Sole ProprietorNo

Enumeration DateMarch 1, 2023

NPPES CertifiedMarch 1, 2023

✔ NPI 1720787682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in IN · 28175839A

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

2121 LAKE AVENUE, Fort Wayne, IN 46805

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Other Providers at the Same Location NPPES 5

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

JANET CASPERSON NP

Nurse Practitioner

2121 LAKE AVENUE, ROOM 345
FORT WAYNE, IN 46805

Allen County (260) 426-5431

LEE ANN MILLER DNP-ACNP-BC

Nurse Practitioner (Acute Care)

2121 LAKE AVENUE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

DR. SARA GUTTA

Internal Medicine (Cardiovascular Disease)

2121 LAKE AVENUE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

ABAGAIL BOOKER LPN

Licensed Practical Nurse

2121 LAKE AVENUE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

MARGARET R WARDLOW

Social Worker

2121 LAKE AVENUE
FORT WAYNE, IN 46805

Allen County (260) 715-8256

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 Tisa Salahud-din's NPI number?

The NPI number for Tisa Salahud-din is 1720787682. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Where is Tisa Salahud-din located?

Tisa Salahud-din practices at 2121 Lake Avenue, Fort Wayne, IN 46805. The listed phone number is (260) 426-5431.

What is Tisa Salahud-din's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Tisa Salahud-din was last updated on March 1, 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.