ANGELA TIDWELL (NPI# 1063830206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063830206 |
| Entity Type | Individual |
| Full Name | ANGELA TIDWELL |
| Credential | R.N. |
| Practice Address |
105 N Magnolia St Sumter SC 29150-4941 |
| Practice Telephone | 8039342833 |
| Practice Fax Number | 8037757163 |
| Mailing Telephone | 8039342833 |
| Mailing Fax Number | 8037757163 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
49775 | SC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710286240 | Angela Tidwell | Behavioral Analyst | 3601 Naugatuck Cir, Las Vegas, NV 89129-6528 | 2011-03-23 |
| 1063901668 | Angela Mary Tidwell | Occupational Therapist | 136 Corporate Park Dr, Mooresville, NC 28117-6959 | 2018-05-09 |
| 1497762942 | Angela Avrett Tidwell | Speech-Language Pathologist | 700 19th St S, Audiology/speech Pathology(126), Birmingham, AL 35233-1927 | 2006-08-01 |
| Street Address |
105 N MAGNOLIA ST |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-4941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689612095 | Kathryn Louise Lowder | Nurse Practitioner | 105 N Magnolia St, Sumter, SC 29150-4941 | 2006-06-04 |
| 1609498583 | Allison Brown | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2020-05-13 |
| 1629699871 | Emma Jackson | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2020-04-29 |
| 1306374327 | Boonhee Floyd | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150 | 2017-06-03 |
| 1386180438 | Pamela Singletary | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2017-01-13 |
| 1174979405 | Dei'nyejah Brown | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2016-05-05 |
| 1518328251 | Hillary Elizabeth Kirby | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2016-03-08 |
| 1174999536 | Kimberly Jenkins | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2015-08-19 |
| 1457731200 | Brenda Cardiente Soderberg | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2015-06-08 |
| 1083092084 | Donna Mccormick | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2015-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045912 | Delta Durant Tompkins | Registered Nurse | 2143 Tanglewood Rd, Sumter, SC 29154-7246 | 2020-02-19 |
| 1205322088 | Tekisha Wright | Registered Nurse | 4240 Woodfield Ct, Sumter, SC 29150-9649 | 2018-07-05 |
| 1609498583 | Allison Brown | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2020-05-13 |
| 1306374327 | Boonhee Floyd | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150 | 2017-06-03 |
| 1174979405 | Dei'nyejah Brown | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2016-05-05 |
| 1518328251 | Hillary Elizabeth Kirby | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2016-03-08 |
| 1457731200 | Brenda Cardiente Soderberg | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2015-06-08 |
| 1508283086 | Jean Andrews | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2014-03-24 |
| 1497171425 | Pamela J Smith | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2014-03-14 |
| 1265858278 | Rhonda Kay Richardson-windham | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2014-03-14 |
| Find all providers in SUMTER | ||||
Please comment or provide details below to improve the information on ANGELA 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.