Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michele Tisdale, AUDCCC-A

Individual provider Audiologist · NPI 1407744543

Michele Tisdale, AUDCCC-A is a Qualified Audiologist in Louisville, Kentucky. Qualified in 2025, 1 year ago. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025

Practice location Address checks out

117 E Kentucky St
Louisville, KY 40203-2793
Phone: (502) 584-3573
Fax: (502) 515-3325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 300505 (KY)

Record details

NPI number1407744543
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUDCCC-A
Sole proprietorNo
NPI enumeratedJune 26, 2025
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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