Tisha Ann Malone, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71011715A Issued in IN

Practice address

1033 E Mount Pleasant Rd Ste D
Evansville, IN 47725-7149

Phone

(812) 469-3173

NPI assigned

Oct 13, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: tisha.malone.2@7598.direct.athenahealth.com
• Direct secure messaging: tisha.malone.1@7598.direct.athenahealth.com

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1295497501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 E MOUNT PLEASANT RD STE D",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477257149",
            "telephone_number": "812-469-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 E MOUNT PLEASANT RD STE D",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477257149",
            "telephone_number": "812-469-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "TISHA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011715A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Eleanor Malinoski, MSW LCSW
• David I Malitz, M.D.
• Hagop Malkon
• Daniel Malone
• Sean D Malone, ATC
• Christina Raye Malvern
• Angela Mamat
• Bianca Marie Mamat
• Luke Man
• Anil Kumar Reddy Manda, DMD

• Family Nurse Practitioner in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.