DEBRA KAY TIDMORE (NPI# 1720624018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720624018 |
| Entity Type | Individual |
| Full Name | DEBRA KAY TIDMORE |
| Practice Address |
3529 Denton Hwy Ste D Haltom City TX 76117-3293 |
| Practice Telephone | 8177590707 |
| Practice Fax Number | 8177590828 |
| Mailing Telephone | 8177590707 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 171276 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568853976 | Debra Tidmore | Occupational Therapy Assistant | 30 Springcrest Ct, Greenville, SC 29607-4034 | 2015-02-07 |
| Street Address |
3529 DENTON HWY STE D |
| City | HALTOM CITY |
| State | TX |
| Zip Code | 76117-3293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795713 | Texas Treatment Services, LLC | Community/Behavioral Health | 3529 Denton Hwy Ste D, Haltom City, TX 76117-3293 | 2019-11-21 |
| 1538705926 | Courtney Goff | Counselor | 3529 Denton Hwy Ste D, Haltom City, TX 76117-3293 | 2019-11-21 |
| 1174169569 | Jennifer Griffith | Counselor | 3529 Denton Hwy Ste D, Haltom City, TX 76117-3293 | 2019-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467943209 | Texas Fmsa Inc | Hospice Care, Community Based | 2504 Minnis Drive, Haltom City, TX 76117 | 2018-05-29 |
| 1427433747 | Ben Van Nguyen | Dentist | 3101 Denton Hwy Suite #100, Haltom City, TX 76117 | 2015-07-28 |
| 1326273210 | Tiana Hoang Thy Pham | Dentist | 3101 Denton Hwy #100, Haltom City, TX 76117 | 2009-05-20 |
| 1396965133 | Wayne Winfred Peavy | Dentist | 2902 Denton Highway, Haltom City, TX 76117 | 2007-04-26 |
| 1053322602 | Jen-rx Inc | Pharmacy | 3183 Denton Hwy, Haltom City, TX 76117 | 2006-08-10 |
| 1154325132 | Suchita Reddy | Family Medicine | 2919 Markum Dr, Fort Worth, TX 76117 | 2005-06-08 |
| 1164899357 | Claudia Elaine Jennings | Occupational Therapy Assistant | 3145 Denton Hwy, Haltom City, TX 76117 | 2015-08-24 |
| 1467885590 | Brianda Hernandez | Dentist | 3101 Denton Hwy, 100, Haltom City, TX 76117 | 2013-08-13 |
| 1396992772 | Meghan K Ruelas | Speech-Language Pathologist | 3145 Denton Hwy, Haltom City, TX 76117 | 2008-08-27 |
| 1285652586 | Rajneesh D Reddy | Family Medicine | 2919 Markum Drive, Ft. Worth, TX 76117 | 2006-07-17 |
| Find all providers in zip 76117 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856420 | Veronica Settles | Licensed Vocational Nurse | 3529 Denton Hwy, Haltom City, TX 76117-3293 | 2019-11-21 |
| 1245716869 | Donatus Uchenna Okoro | Licensed Vocational Nurse | 5600 Coventry Park Dr Apt 1100, Haltom City, TX 76117-1534 | 2018-07-17 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | HALTOM CITY |
| Zip Code | 76117 |
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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.