MRS. LORENA ELIZABETH TIDWELL (NPI# 1346373602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346373602 |
| Entity Type | Individual |
| Full Name | MRS. LORENA ELIZABETH TIDWELL |
| Credential | ATC |
| Practice Address |
West End Washinton Laredo Community College - Athletic Department Laredo TX 78040 |
| Mailing Address |
P140 Fort Mcintosh Laredo TX 78040-4344 |
| Practice Telephone | 9567215326 |
| Practice Fax Number | 9567215877 |
| Mailing Telephone | 9567231153 |
| Mailing Fax Number | 9567215877 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT2882 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
WEST END WASHINTON LAREDO COMMUNITY COLLEGE - ATHLETIC DEPARTMENT |
| City | LAREDO |
| State | TX |
| Zip Code | 78040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407335755 | Viviana Rodriguez | Specialist/Technologist | 1020 Corpus Christi St., Laredo, TX 78040 | 2018-08-08 |
| 1518451749 | United Med Care Ambulance | Ambulance | 1110 Davis Ave, Laredo, TX 78040 | 2018-06-20 |
| 1962910117 | Tomas Cantu | Home Health | 1502 Hidalgo St, Laredo, TX 78040 | 2018-01-22 |
| 1457860447 | Francisco J Martinez | Massage Therapist | 3116 San Bernardo Ave #a, Laredo, TX 78040 | 2017-09-22 |
| 1760810634 | Melissa Garcia | Nurse Practitioner | 1220 San Agustin Ave, Laredo, TX 78040 | 2013-10-31 |
| 1093956831 | Black Casino LLC | Clinic/Center | 302 Washington St Suite B, Laredo, TX 78040 | 2009-03-06 |
| 1851504252 | La Luz Adult Day Care L.L.C. | Nursing Facility/Intermediate Care Facility | 2349 E Saunders, Laredo, TX 78040 | 2007-05-08 |
| 1578609319 | Iliana Medina Chandarlis | Physical Therapist | 1501 Chihuahua Drive Suite #2, Laredo, TX 78040 | 2007-01-29 |
| 1972669919 | Sunny Wong | Internal Medicine | Mcpherson Medical Center, 6801 Mcpherson Road Suite 337, Laredo, TX 78040 | 2006-12-27 |
| 1962561134 | Med Equip Medical Rentals Inc | Contractor | 909 Market St, Laredo, TX 78040 | 2006-12-06 |
| Find all providers in zip 78040 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149643 | Andres Daniel Uresti | Specialist/Technologist | 1510 Wildrose Ln, Laredo, TX 78041-3312 | 2019-05-15 |
| 1215495593 | Paulina Torres | Specialist/Technologist | 1426 Agave, Laredo, TX 78041-3386 | 2019-03-06 |
| 1023575958 | Jovany Josue Perez | Specialist/Technologist | 10107 Galisteo Dr, Laredo, TX 78045-6388 | 2019-02-27 |
| 1972068773 | Chelsea Ireen Martinez | Specialist/Technologist | 103 Grove Ave, Laredo, TX 78045-7731 | 2019-02-05 |
| 1265956403 | Amanda G Mancha | Specialist/Technologist | 2002 San Bernardo Ave, Laredo, TX 78040-3142 | 2017-07-31 |
| 1871049163 | Eduardo Pompa | Specialist/Technologist | 5608 Rosa, Laredo, TX 78043-5162 | 2016-08-28 |
| 1467814681 | Emmanuel Adan Cortina | Specialist/Technologist | 457 Rodriguez, Laredo, TX 78046-7971 | 2016-03-26 |
| 1558734665 | Johnathon Cortazzo | Specialist/Technologist | 4001 Los Presidentes Ave, Laredo, TX 78046-6044 | 2015-11-11 |
| 1740704683 | Michael Rodriguez | Specialist/Technologist | 2002 San Bernardo Ave, Laredo, TX 78040-3142 | 2017-08-02 |
| 1457568628 | Ernst David Feisner | Specialist/Technologist | 5201 University Blvd, Texas A&m International University, Laredo, TX 78041-1920 | 2007-05-17 |
| Find all providers in LAREDO | ||||
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| 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.