Cynthia Jean Tisby, is a
Home Health based in Shreveport, Louisiana. Cynthia Jean Tisby is licensed to practice in Louisiana (license number ) and her current practice location is
717 Crockett St, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 252-8839.
NPI number for Cynthia Jean Tisby is 1427916881 and her current mailing address is 717 Crockett St, Shreveport, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427916881.
Healthcare Provider's Profile
| Full Name | Cynthia Jean Tisby |
|---|
| Gender | Female |
|---|
| Speciality | Home Health |
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| Location | 717 Crockett St, Shreveport, Louisiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427916881
- Provider Enumeration Date: 01/14/2026
- Last Update Date: 01/14/2026
Medical Identifiers
Medical identifiers for Cynthia Jean Tisby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427916881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Louisiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | (Louisiana) | Secondary |
| 101YP1600X | Counselor - Pastoral | (Louisiana) | Secondary |
| 251E00000X | Home Health | (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cynthia Jean Tisby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Cynthia Jean Tisby, 717 Crockett St, Shreveport, LA 71101-3605 Ph: (318) 252-8839 | Cynthia Jean Tisby, 717 Crockett St, Shreveport, LA 71101-3605 Ph: (318) 252-8839 |
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