JAMIE RENEE TIDWELL (NPI# 1477049989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477049989 |
| Entity Type | Individual |
| Full Name | JAMIE RENEE TIDWELL |
| Credential | LDH |
| Practice Address |
703 W Park St Cayuga IN 47928-8207 |
| Mailing Address |
Po Box 209 Cayuga IN 47928-0209 |
| Practice Telephone | 7654928099 |
| Practice Fax Number | 7654929048 |
| Mailing Telephone | 7654928099 |
| Mailing Fax Number | 7654929048 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 13005947A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224113 | Jamie South Tidwell | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-01-14 |
| Street Address |
703 W PARK ST |
| City | CAYUGA |
| State | IN |
| Zip Code | 47928-8207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417284043 | Valley Professionals Community Health Center, Inc. | Clinic/Center | 703 W Park St, Cayuga, IN 47928-8207 | 2009-11-03 |
| 1497382402 | Zakary Bushue | Social Worker | 703 W Park St, Cayuga, IN 47928-8207 | 2020-03-27 |
| 1245878529 | Jr Pharmacy LLC No 5 | Pharmacy | 703 W Park St, Cayuga, IN 47928-8207 | 2019-12-17 |
| 1487206306 | Andrea Lynn Davenport | Nurse Practitioner | 703 W Park St, Cayuga, IN 47928-8207 | 2019-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841823168 | Illiana Ems, Inc. | Ambulance | 216 N Eugene Ave, Cayuga, IN 47928 | 2020-02-14 |
| 1033563846 | Jordan West | Specialist/Technologist | 205 South Logan Street, Cayuga, IN 47928 | 2016-04-18 |
| 1346390309 | Parke Clinic, PC | Family Medicine | 101 Grant St, Cayuga, IN 47928 | 2007-01-11 |
| 1104871664 | Union Hospital Inc | Family Medicine | 114 N Division Street, Cayuga, IN 47928 | 2006-05-23 |
| 1366774960 | Harrell's Home Healthcare, LLC | Home Health | 133 W Jackson St, Cayuga, IN 47928-8022 | 2010-02-05 |
| 1184019887 | Casey West | Specialist/Technologist | 3792 N 75 W, Cayuga, IN 47928-8114 | 2015-03-31 |
| 1477665537 | North Vermillion Comm. School Corporation | Local Education Agency (LEA) | 5551 N Falcon Dr, Cayuga, IN 47928-8181 | 2006-08-31 |
| 1821032111 | Maureen A Socha | General Practice | 101 N Grant St, Cayuga, IN 47928-8208 | 2006-06-16 |
| 1639325137 | Erik P Southard | Nurse Practitioner | 114 N Division St, Cayuga, IN 47928-8230 | 2008-08-15 |
| 1790941086 | Laurie Joy Blanco Valera | Family Medicine | 114 N. Division, Cayuga, IN 47928-8230 | 2008-08-06 |
| Find all providers in zip 47928 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702828 | Oleg Borisyuk | Dental Hygienist | 804 S Green River Rd, Evansville, IN 47715-4106 | 2020-08-28 |
| 1578182309 | Carrie Striplin | Dental Hygienist | 6420 Sunset Ln, Indianapolis, IN 46260-4633 | 2020-04-12 |
| 1154979458 | Courtney Huffman | Dental Hygienist | 2709 Washington Ave Ste 2, Evansville, IN 47714-2412 | 2019-08-29 |
| 1972061562 | Jaime L Kinsey | Dental Hygienist | 4952 W 500 N, Wabash, IN 46992-9017 | 2019-03-04 |
| 1144708512 | Toni Leigh Szabo | Dental Hygienist | 14700 Carrigan Ct, Granger, IN 46530-4224 | 2018-07-29 |
| 1669964581 | Lisa A Greene | Dental Hygienist | Conservative Dental Solutions, 101 N Cross Street, Waveland, IN 47989 | 2018-06-06 |
| 1730670639 | Kathleen Mcmannes | Dental Hygienist | 4629 Melton Rd, Gary, IN 46403-2866 | 2018-05-25 |
| 1699298471 | Stacy Lynn Lashenik | Dental Hygienist | 7101 E Lincoln Hwy, Crown Point, IN 46307-8821 | 2017-07-24 |
| 1861871170 | Mercy Seat Dentistry | Dental Hygienist | 2155 Commerce Drive, Bluffton, IN 46714 | 2015-05-20 |
| 1992118426 | Lynnette Martin-richey | Dental Hygienist | 1453 Flagstone Dr, Dyer, IN 46311-2294 | 2014-06-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JAMIE RENEE 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.