Sherronda Tisdale

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

630 W Prien Lake Rd Ste B
Lake Charles, LA 70601-0700

Phone

(281) 506-0630

Fax

(800) 391-2426

NPI assigned

May 6, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Noah's Ark Multi-Service Center

  • Non-emergency Medical Transport (VAN)
  • Mansura, LA
  • NPI 1104410505
  NPD Authorized official
• Noah's Ark Transportation Services

  • Non-emergency Medical Transport (VAN)
  • Lake Charles, LA
  • NPI 1497486641
  NPD Authorized official
• Noah's Ark Multi-Service Center

  • Non-emergency Medical Transport (VAN)
  • Houston, TX
  • NPI 1366046260
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1033855788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 HIGHLAND MEADOW VLG DR APT 404",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770895364",
            "telephone_number": "832-271-9029",
            "fax_number": "800-391-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W PRIEN LAKE RD STE B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706010700",
            "telephone_number": "281-506-0630",
            "fax_number": "800-391-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISDALE",
        "first_name": "SHERRONDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Till
• Cresha Louise Tillman Francois, MHS
• Sierra L Tillman
• Theresa Tillman
• Tracey Elizabeth Timmons, MS, RD, LDN
• Barbara C Tomek, MD
• Britni Page Tommasi, B.C.B.A
• Savanna Mary Tommasi, M.S. CCC-SLP
• Tommy G. Hillman, DDS, a Professional Dental Corporation
• Tony W. Leung, M.D. LLC

• Non-emergency Medical Transport (VAN) in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.