KAREN REBECCA TIDWELL (NPI# 1417297433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417297433 |
| Entity Type | Individual |
| Full Name | KAREN REBECCA TIDWELL |
| Other Name | KAREN REBECCA TIDWELL |
| Credential | RN |
| Practice Address |
302 Pomona Dr Suite L Greensboro NC 27407-1663 |
| Practice Telephone | 3365416475 |
| Mailing Telephone | 3365416475 |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 251259 | NC | Nursing Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | 251259 | NC | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558658765 | Karen Sue Tidwell | Counselor | 3224 Bee Ridge Rd, Sarasota, FL 34239-7201 | 2011-07-08 |
| 1629014121 | Karen L Tidwell | Registered Nurse | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2006-06-22 |
| Street Address |
302 POMONA DR SUITE L |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407-1663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508904277 | Family Based Strategies, Inc | Community/Behavioral Health | 302 Pomona Dr, Suite D, Greensboro, NC 27407-1663 | 2007-02-02 |
| 1326500786 | Meredith Andrews Davis | Dietitian, Registered | 302 Pomona Dr, Greensboro, NC 27407-1663 | 2019-04-04 |
| 1881134351 | Danielle Nunnery | Dietitian, Registered | 302 Pomona Dr, Suite L, Greensboro, NC 27407-1663 | 2017-03-03 |
| 1477947224 | Rachel Elizabeth Hermecz | Dietitian, Registered | 302 Pomona Dr, Ste. L, Greensboro, NC 27407-1663 | 2015-03-18 |
| 1831434133 | Frida Hernandez-ble | Dietitian, Registered | 302 Pomona Dr, Suite L, Greensboro, NC 27407-1663 | 2012-11-28 |
| 1124167648 | Family Based Strategies, Inc | Community/Behavioral Health | 302 Pomona Dr, Suite D, Greensboro, NC 27407-1663 | 2007-02-05 |
| 1659410173 | Family Based Strategies, Inc | Community/Behavioral Health | 302 Pomona Dr, Suite D, Greensboro, NC 27407-1663 | 2007-02-05 |
| 1982743407 | Family Based Strategies, Inc | Community/Behavioral Health | 302 Pomona Dr, Suite D, Greensboro, NC 27407-1663 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1154846566 | Pamela D Bradley | Registered Nurse | 2806 Randleman Rd Ste J, Greensboro, NC 27406-5266 | 2017-08-07 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1649627738 | Accordant Health Services | Registered Nurse | 4900 Koger Blvd Ste 100, Greensboro, NC 27407-2710 | 2016-05-18 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1265843627 | Elizabeth Cameron | Registered Nurse | 1100 East Wendover Ave., Greensboro, NC 27405 | 2014-05-19 |
| 1619391109 | Le'starr Hannah | Registered Nurse | 3902 Marchester Way, Apt 3h, Greensboro, NC 27407 | 2014-02-05 |
| 1205267382 | Jasmine Briana Jones | Registered Nurse | 3308 Rehobeth Church Rd Apt S, Greensboro, NC 27406-5038 | 2013-11-27 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
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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.