MR. TIMOTHY SCOTT TIDWELL II (NPI# 1326530676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326530676 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY SCOTT TIDWELL II |
| Credential | DNP, NP-C |
| Practice Address |
12221 Heathfield Ln Oklahoma City OK 73173-7011 |
| Practice Telephone | 9186471648 |
| Mailing Telephone | 9186471648 |
| Enumeration Date | 2018-06-02 |
| Last Update Date | 2018-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
101752 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275972325 | Timothy N Tidwell | Internal Medicine | 5920 West Mall, Atascadero, CA 93422 | 2013-06-21 |
| 1225337561 | Timothy Tidwell | Pharmacist | 2449 Old Fort Pkwy, Murfreesboro, TN 37128-4162 | 2011-03-25 |
| 1578693578 | Timothy Wayne Tidwell | Licensed Practical Nurse | 803 Joy St, Paris, TN 38242-4529 | 2007-03-07 |
| Street Address |
12221 HEATHFIELD LN |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73173-7011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093190597 | Brittany Lee Hyde | Registered Nurse | 12105 Chesterfield Ln, Oklahoma City, OK 73173-7029 | 2015-07-25 |
| 1013316306 | Shawnda Jameson | Counselor | 7109 Sw 105th St, Oklahoma City, OK 73173-7724 | 2014-08-22 |
| 1790099505 | Jenni Dawn Hunt | Speech-Language Pathologist | 11133 Pamplona Way, Oklahoma City, OK 73173-8136 | 2010-08-04 |
| 1760706030 | Brandi Jo Ricketts | Counselor | 11417 Marbella Dr, Oklahoma City, OK 73173-8155 | 2010-03-16 |
| 1417310186 | Ebp & Me, LLC | Community/Behavioral Health | 5116 Sw 126th Pl, Oklahoma City, OK 73173-8821 | 2016-03-31 |
| 1194283424 | Nancy Ann Owens | Nurse Practitioner | 5101 Sw 120th Ct, Oklahoma City, OK 73173-8875 | 2019-03-05 |
| 1538606371 | Jeffery Blake Woods | Physical Therapist | 4821 Sw 130th St, Oklahoma City, OK 73173-8913 | 2017-01-31 |
| 1053851543 | Krista M Doll LLC | Counselor | 4816 Sw 129th St, Oklahoma City, OK 73173-8917 | 2017-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043044 | Marielle Crowell | Student in an Organized Health Care Education/Training Program | 700 Nw 51st St, Oklahoma City, OK 73118-6216 | 2020-11-08 |
| 1952902736 | Brandon Talaro Schmidt | Student in an Organized Health Care Education/Training Program | 100 Ne 4th St Apt 2305, Oklahoma City, OK 73104-2009 | 2020-11-06 |
| 1710588694 | Hayden Mackenzie Bryan | Student in an Organized Health Care Education/Training Program | 1425 Nw 29th St, Oklahoma City, OK 73106-3433 | 2020-11-05 |
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1548861560 | Cruz Mccarty | Student in an Organized Health Care Education/Training Program | 101 Ne 53rd St Apt 3311, Oklahoma City, OK 73105-1892 | 2020-11-05 |
| 1508467994 | Yenth Matilde Chaidez | Case Manager/Care Coordinator | 10409 Casa Linda, Oklahoma City, OK 73139-5510 | 2020-11-03 |
| 1700487147 | Zackery R Devine | Physical Medicine & Rehabilitation | 1029 Ne 6th St Apt 331, Oklahoma City, OK 73117-1459 | 2020-11-03 |
| 1063013530 | Thomas Labarthe | Student in an Organized Health Care Education/Training Program | 2833 Nw 67th St, Oklahoma City, OK 73116-4612 | 2020-11-02 |
| 1144821604 | Body Smart Physio LLC | Clinic/Center | 1745a Nw 16th St Ste A, Oklahoma City, OK 73106-2067 | 2020-11-02 |
| 1760082523 | Alimot Shadia L Karim | Case Manager/Care Coordinator | 1330 N Classen Blvd Ste 314, Oklahoma City, OK 73106-6834 | 2020-10-29 |
| Find all providers in OKLAHOMA CITY | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483302 | Terri Lynn Quintero | Nurse Practitioner | 15701 S Pennsylvania Ave, Oklahoma City, OK 73170-8713 | 2020-10-06 |
| 1952917239 | Philomina Philipose | Nurse Practitioner | 8805 Nw 116th St, Oklahoma City, OK 73162-2220 | 2020-09-21 |
| 1376158295 | Ligi Abraham | Nurse Practitioner | 4200 W Memorial Rd Ste 206, Oklahoma City, OK 73120-8305 | 2020-09-09 |
| 1487266532 | Carla Jo Walker | Nurse Practitioner | 1325 N Walker Ave Apt 357, Oklahoma City, OK 73103-6409 | 2020-08-20 |
| 1396356143 | Deshell Ravette Tillman | Nurse Practitioner | 2621 N Sterling Ave, Oklahoma City, OK 73127-1919 | 2020-08-14 |
| 1225656549 | Simon Wellness LLC | Nurse Practitioner | 9321 Sw 23rd St, Oklahoma City, OK 73128-1840 | 2020-07-13 |
| 1831717396 | Caitlin Raylynn Stenberg | Nurse Practitioner | 1000 N Lincoln Blvd Ste 3200, Oklahoma City, OK 73104-3252 | 2020-07-10 |
| 1467078113 | Jaanki Bhakta | Nurse Practitioner | 9116 Sw 24th St, Oklahoma City, OK 73128-4903 | 2020-06-18 |
| 1629699244 | Tanya Cates | Nurse Practitioner | 5529 Bush Creek Way, Oklahoma City, OK 73117-8440 | 2020-05-05 |
| 1922629054 | Heather Amanda Chin Hwa Rutledge | Nurse Practitioner | 7800 Sw 87th Cir, Oklahoma City, OK 73169-7800 | 2020-04-29 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73173 |
Please comment or provide details below to improve the information on MR. TIMOTHY SCOTT TIDWELL II.
| 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.