Kevin Tisdale
NPI 1063117976 · Case Manager/Care Coordinator · Washington, DC
Kevin Tisdale is a Case Manager/Care Coordinator provider in Washington, DC (NPI 1063117976).
Provider details
- NPI number
- 1063117976
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-31
- Last updated
- 2023-06-14
- Certified
- 2023-06-14
Frequently asked questions
- What is Kevin Tisdale's NPI number?
- Kevin Tisdale's National Provider Identifier (NPI) is 1063117976, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Tisdale's specialty?
- Kevin Tisdale is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Kevin Tisdale located?
- Kevin Tisdale's practice location on file with NPPES is 4660 Martin Luther King Jr Ave Sw, Washington, DC 20032-4933.
- What is Kevin Tisdale's phone number?
- The practice phone number listed in the NPPES registry for Kevin Tisdale is (202) 318-0179.
- Is Kevin Tisdale's NPI active?
- Yes — Kevin Tisdale's NPI (1063117976) is active in the NPPES registry as of the last update on 2023-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.