Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Zachary Tisdale

Nurse Practitioner in De Kalb, MS · enumerated 2026.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730048794

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Registry record

Entity type Individual (Type 1)

Name Zachary Tisdale

Sex Male

Practice address 14365 Highway 16 W, De Kalb, MS, 39328

Phone (769) 486-1000

Enumeration date Jan 16, 2026

Last updated in NPPES Jan 16, 2026

Taxonomy & licenses

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 907900 (MS) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Zachary Tisdale?

Zachary Tisdale is registered in NPPES with the primary taxonomy of Nurse Practitioner. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-16.