TERRY TIDWELL


Address: 436 S Main St, Springtown, TX 76082-2608
Phone: 8175233084

TERRY TIDWELL (NPI# 1649466798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649466798
Entity Type Individual
Full Name TERRY TIDWELL
Credential LVN
Practice Address 436 S Main St
Springtown
TX 76082-2608
Mailing Address Po Box 833
Springtown
TX 76082-0833
Practice Telephone 8175233084
Mailing Telephone 8175233084
Enumeration Date 2007-09-22
Last Update Date 2007-09-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164X00000X Licensed Vocational Nurse 136181 TX Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX LVN 136181 01

Office Location

Street Address 436 S MAIN ST
City SPRINGTOWN
State TX
Zip Code 76082-2608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124214192 Anna Marie Jorgensen Licensed Vocational Nurse 436 S Main St, Springtown, TX 76082-2608 2007-09-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649884313 Springtown Ventures Lp Skilled Nursing Facility 201 Williams Ward Rd., Springtown, TX 76082 2020-09-01
1316598576 Alan H. Hall Emergency Medicine 2766 East Highway 199, Springtown, TX 76082 2019-09-27
1427523570 Marita L. Harrell Chiropractor 335 Hwy 199e, Springtown, TX 76082 2018-10-04
1659853679 Total Care Health Services, LLC Chiropractor 335 E. Hwy 199, Springtown, TX 76082 2018-09-06
1093294191 Katherine A Metoyer Speech-Language Pathologist 301 E. 15th Street, Springtown, TX 76082 2018-08-09
1558581728 Larry Don Murphy Dentist 129 East 1st Street, Springtown, TX 76082 2007-04-27
1568559730 Felix Helio Cano Dentist 434 Highway 199 East, Springtown, TX 76082 2006-10-06
1508802646 Wendell Gene Mcdaniel Family Medicine 308 W Hwy 199, Springtown, TX 76082 2006-06-20
1386600948 Ganzon Clinic Pa Family Medicine 499 E Hwy 199, Springtown, TX 76082 2006-04-24
1922660802 John Park Pharmacist 117 E 1st St, Springtown, TX 76082 2019-07-01
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Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699332684 Denise Yarbrough Licensed Vocational Nurse 107 Private Road 3797, Springtown, TX 76082-4934 2019-05-24
1487218897 Ashley Marie Larimore Licensed Vocational Nurse 815 N Avenue A, Springtown, TX 76082-2209 2019-05-01
1841766797 Tamara Benson Licensed Vocational Nurse 6901 Hutcheson Hill Rd, Springtown, TX 76082-6561 2018-10-18
1124214192 Anna Marie Jorgensen Licensed Vocational Nurse 436 S Main St, Springtown, TX 76082-2608 2007-09-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083215933 Alexis D Wilson Licensed Vocational Nurse 1610 Maple Ave, Midland, TX 79705-6910 2020-11-06
1861093635 Janice Joseph Licensed Vocational Nurse 3705 Roland Rd, Beaumont, TX 77708-3211 2020-11-06
1366043416 Ana Swain Licensed Vocational Nurse 10202 Bricewood Pl, San Antonio, TX 78254-1995 2020-11-05
1962003855 Leashia Armstong Licensed Vocational Nurse 12603 Woodforest Blvd Apt 1210, Houston, TX 77015-3430 2020-11-05
1770184970 Jasminn Williams Licensed Vocational Nurse 3323 Renaissance Dr, Dallas, TX 75287-5950 2020-11-04
1881295053 Jaelynda Prothero Licensed Vocational Nurse 13787 Macdona Lacoste Rd Lot 20, Atascosa, TX 78002-3532 2020-11-04
1780285130 Chinonso Jonathan Anyiwo Licensed Vocational Nurse 804 Serenity Dr, Cedar Hill, TX 75104-3182 2020-11-03
1972104362 Adrianna Orosco Licensed Vocational Nurse 5511 Shorthorn Dr, Laredo, TX 78046-6179 2020-11-03
1346841764 Anitra Da'shai Mayes Licensed Vocational Nurse 1516 Gurley Ln Apt 3104, Waco, TX 76706-3531 2020-11-03
1588265995 Penny Reanne Hinders Licensed Vocational Nurse 817 Speight Ave Apt 121, Waco, TX 76706-1419 2020-11-03
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Competitor

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City SPRINGTOWN
Zip Code 76082

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Dataset Information

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.

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