Tisha Lynette Wardrett-Nelson, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0704013075 Issued in VA

Practice address

780 Lynnhaven Pkwy Ste 370
Virginia Beach, VA 23452-7353

Phone

(757) 255-8845

NPI assigned

Aug 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tisha Lynette Wardrett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Riverside Hospital Inc

  dba Riverside Smithfield Hospital

  • General Acute Care Hospital
  • Smithfield, VA
  • NPI 1366259863
  NPD
• Riverside Hospital Inc

  dba Riverside Internal Medicine Warwick

  • Internal Medicine Physician
  • Newport News, VA
  • NPI 1508019837
  NPD
• Riverside Hospital Inc.

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1043353956
  NPD

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1205446242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 ADWOOD CT",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236051450",
            "telephone_number": "757-255-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 LYNNHAVEN PKWY STE 370",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527353",
            "telephone_number": "757-255-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDRETT-NELSON",
        "first_name": "TISHA",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0704013075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TISHA",
            "last_name": "WARDRETT",
            "middle_name": "LYNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Chen Ward, PHARM D
• Jane G Warden, LCSW
• Steven Scott Warden, MD FACS MBA
• William B Warden, MD
• Stacy Lynn Wardle
• Tiffany Wardrett
• Dolores Ware, CCC-SLP
• Earl Ware Jr., A.T.C./L., C.S.C.S.
• Elizabeth Ware, PT
• Jessica Micaela Ware, MS

• Professional Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.