CASSIE TIDWELL (NPI# 1003342957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003342957 |
| Entity Type | Individual |
| Full Name | CASSIE TIDWELL |
| Credential | RD, LD |
| Practice Address |
611 Alcorn Dr Corinth MS 38834-9321 |
| Practice Telephone | 6622931135 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | D1711 | MS | Dietary & Nutritional Service Providers |
| Street Address |
611 ALCORN DR |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-9321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609876739 | Clyde Maxwell Hutchinson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 611 Alcorn Dr, Suite 200, Corinth, MS 38834-9321 | 2005-07-29 |
| 1073122305 | Caitlin Bridget Corker Relph | Pharmacist | 611 Alcorn Dr, Corinth, MS 38834-9388 | 2020-07-22 |
| 1316564651 | Bennett Davis | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-02 |
| 1902423155 | John Raper | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-02 |
| 1447877873 | William David Wynn | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1275150625 | Brian Chase Bennett | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1851918213 | Courtney Kathleen Rich | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9388 | 2020-07-01 |
| 1114544590 | Abdalaziz Tabash | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1750908315 | Tara George | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-06-30 |
| 1154947398 | Chelsey Danielle Stewart | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770606287 | Jennifer Kay Raines | Dietitian, Registered | 1911 Bridgestone Dr, Corinth, TX 76210-2192 | 2007-04-09 |
| 1376100974 | Anna Margaret Jones | Dietitian, Registered | 611 Alcorn Dr, Corinth, MS 38834-9388 | 2019-05-20 |
| 1972015824 | Amber L Chaney | Dietitian, Registered | 703 Alcorn Dr Ste 102, Corinth, MS 38834-9302 | 2017-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427780 | Ronald Dwayne Woods | Dietitian, Registered | 1 Ashton Gardens Dr, Jackson, MS 39211-4275 | 2020-11-02 |
| 1720690845 | Timmi Unger Bishop | Dietitian, Registered | 188 Bream Rd, Mantachie, MS 38855-8571 | 2020-08-19 |
| 1033734348 | Jaclyn Wehrle | Dietitian, Registered | 122 Virginia Dr, Hattiesburg, MS 39401-5832 | 2020-06-11 |
| 1447875893 | Jaden Nichole Tabat | Dietitian, Registered | 400 Shadow Creek Dr Unit 400, Oxford, MS 38655-6227 | 2020-06-11 |
| 1467080580 | Kimberly Marie Chapman | Dietitian, Registered | 312 Pine Ridge Pt, Petal, MS 39465-4241 | 2020-04-01 |
| 1437783420 | Sara E Foster | Dietitian, Registered | 36 Craft Rd, Petal, MS 39465-9335 | 2020-02-27 |
| 1922639046 | Anna Brashier | Dietitian, Registered | 410 White Oak St, Waynesboro, MS 39367-2546 | 2020-01-28 |
| 1821628967 | Joanne Alison Levanway | Dietitian, Registered | 13701 Hidden Oaks Dr, Gulfport, MS 39503-7025 | 2020-01-16 |
| 1629615489 | Lynne Victoria Longman | Dietitian, Registered | 2424 Weeping Willow Cir, Hattiesburg, MS 39402-6090 | 2019-11-28 |
| 1083250187 | Heather Ruthann Jenkins | Dietitian, Registered | 2646 Cherry Tree Dr, Southaven, MS 38672-8016 | 2019-11-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CASSIE TIDWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.