MRS. TAYLOR SMITH TIDWELL (NPI# 1457992539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457992539 |
| Entity Type | Individual |
| Full Name | MRS. TAYLOR SMITH TIDWELL |
| Other Name | TAYLOR LEIGH SMITH |
| Credential | OTR |
| Practice Address |
2885 Harris St Eureka CA 95503-4808 |
| Mailing Address |
1300 Owens Rd Auburn AL 36830-2521 |
| Practice Telephone | 7074431627 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 17-03531 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 4892 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | 20197 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700269446 | Taylor Tidwell | Day Training/Habilitation Specialist | 806 Glendale St, Jonesboro, AR 72401-4455 | 2015-06-30 |
| Street Address |
2885 HARRIS ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95503-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306824248 | Granada Healthcare & Rehabilitation Center, LLC | Skilled Nursing Facility | 2885 Harris St, Eureka, CA 95503-4808 | 2005-12-30 |
| 1992279012 | Andrianna Rogers | Physical Therapy Assistant | 2885 Harris St, Eureka, CA 95503-4808 | 2019-01-11 |
| 1710376678 | Kathleen Madsen | Physical Therapist | 2885 Harris St, Eureka, CA 95503-4808 | 2015-01-15 |
| 1932598190 | Stacey Mcclure | Occupational Therapy Assistant | 2885 Harris St, Eureka, CA 95503-4808 | 2015-01-12 |
| 1386067163 | Lekeith Romel Mapp | Occupational Therapist | 2885 Harris St, Eureka, CA 95503 | 2014-01-29 |
| 1891037958 | Elizabeth Anne Becker | Physical Therapist | 2885 Harris St, Eureka, CA 95503-4808 | 2013-03-26 |
| 1417245333 | Mary P Cross | Occupational Therapy Assistant | 2885 Harris St, Eureka, CA 95503-4808 | 2011-07-12 |
| 1003113705 | Granada Rehabilitation & Wellness Center, Lp | Skilled Nursing Facility | 2885 Harris St, Eureka, CA 95503-4808 | 2011-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717244 | Margaret Ramsey | Technician | 463 Ole Hansen Rd., Eureka, CA 95503 | 2019-08-27 |
| 1033765060 | John C Nelson Md Inc | Family Medicine | Hospice of Humboldt, 3327 Timber Fall Court, Eureka, CA 95503 | 2019-08-15 |
| 1861904815 | Remi Vista, Inc. | Marriage & Family Therapist | 3109 H St, Eureka, CA 95503 | 2017-10-31 |
| 1427576487 | Liliana Alonso | Case Manager/Care Coordinator | 3960 Walnut Dr., Eureka, CA 95503 | 2017-08-30 |
| 1801243241 | Sarah Kingstrom | Physician Assistant | 2933 Pigeon Point Rd, Eureka, CA 95503 | 2016-05-16 |
| 1760738389 | Gail Mildred Pascoe | Marriage & Family Therapist | 618 Harris Street, Eureka, CA 95503 | 2012-08-01 |
| 1497084933 | Angus Bynon Stewart | Ophthalmology | 77 Sole Street, Eureka, CA 95503 | 2009-12-11 |
| 1942454301 | Balanced Physical Therapy | Physical Therapist | 2900 Harris St., Eureka, CA 95503 | 2008-11-12 |
| 1073762480 | Michele Lee Rogers | Marriage & Family Therapist | 3172 Walford Ave Ste 2, Eureka, CA 95503 | 2008-09-10 |
| 1952592321 | Brian James Smith | Dentist | 831 Harris Street, Eureka, CA 95503 | 2007-08-09 |
| Find all providers in zip 95503 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470830 | Jessica Lynn Lopez Seely | Occupational Therapist | 1333 Coast Guard St, Eureka, CA 95501-7504 | 2019-07-31 |
| 1073095170 | Allison Hill | Occupational Therapist | 101 Towne Square Ct Apt G, Eureka, MO 63025-1913 | 2018-09-05 |
| 1245628064 | Matthewz Zelden | Occupational Therapist | 1110 K St, Eureka, CA 95501-2458 | 2014-12-31 |
| 1649544602 | Donna Stafford | Occupational Therapist | 103 Mockingbird Ct, Eureka, MT 59917-9493 | 2012-03-07 |
| 1700057734 | Christina Whatley | Occupational Therapist | 936 Emerald Oaks Ct, Eureka, MO 63025-2371 | 2008-03-18 |
| 1548478589 | Joyce Ann Wicklund | Occupational Therapist | 2353 23rd St., Eureka Health & Wellness Center, Ot Dept., Eureka, CA 95501 | 2007-05-21 |
| 1194865741 | Brenda Mccarthy | Occupational Therapist | 346 Lewis Bluff Cir, Eureka, MO 63025-1638 | 2007-02-06 |
| 1275697054 | Martin James Connelly | Occupational Therapist | 2415 Sunrise Dr, Eureka, MO 63025-3512 | 2006-12-19 |
| 1568538007 | Heidi Ann Kaun | Occupational Therapist | 2121 Myrtle Ave, Eureka, CA 95501 | 2006-11-27 |
| 1942394838 | Jo Ellen Tennyson-samson | Occupational Therapist | 517 3rd St, Eureka, CA 95501-5105 | 2006-10-03 |
| Find all providers in EUREKA | ||||
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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.