ANTONIA TIDWELL (NPI# 1548519739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548519739 |
| Entity Type | Individual |
| Full Name | ANTONIA TIDWELL |
| Credential | RDMS, RVT, RDCS, RTR |
| Practice Address |
323 Savannah Rdg Murfreesboro TN 37127-8331 |
| Practice Telephone | 6157083179 |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2012-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
115198 | TN | Technologists, Technicians & Other Technical Service Providers |
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
310458 | TN | Technologists, Technicians & Other Technical Service Providers |
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
115198 | TN | Technologists, Technicians & Other Technical Service Providers |
| N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
115198 | TN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
323 SAVANNAH RDG |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37127-8331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265796114 | Brandon Dean Wingate | Radiologic Technologist | 323 Savannah Rdg, Murfreesboro, TN 37127-8331 | 2012-06-26 |
| 1215292826 | Elke E Wingate | Radiologic Technologist | 323 Savannah Rdg, Murfreesboro, TN 37127-8331 | 2012-07-10 |
| 1316201882 | Wingate Mobile, Inc. | Radiologic Technologist | 323 Savannah Rdg, Murfreesboro, TN 37127-8331 | 2012-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102101 | Results-ast Jv, LLC | Physical Therapist | 2910 S. Church Street, Suite G, Murfreesboro, TN 37127 | 2020-10-19 |
| 1679042980 | Quasheema Lloyd | Social Worker | 1012 Nimbus Lane, Murfreesboro, TN 37127 | 2018-11-15 |
| 1568851640 | Music City Eye Care LLC | Optometrist | 140 Joe B Jackson Parkway, Murfreesboro, TN 37127 | 2015-01-13 |
| 1467868943 | Sueellen Robinson-cho | Dentist | 2943 South Church Rd., Murfreesboro, TN 37127 | 2014-07-07 |
| 1922424761 | Katie Tipton | Nurse Practitioner | 3163 South Church Street, Murfreesboro, TN 37127 | 2014-03-17 |
| 1588958409 | Tennessee Family Solutions, Inc. | Intermediate Care Facility, Mentally Retarded | 1727-1729 Thomas Court, Murfreesboro, TN 37127 | 2011-06-08 |
| 1053382648 | Jack Dempsey Hydrick II | Nurse Practitioner | 2910 South Church St, Ste B, Murfreesboro, TN 37127 | 2006-01-31 |
| 1730570540 | Wal-mart Stores East, Lp | Technician/Technologist | 140 Joe B Jackson Parkway, Murfreesboro, TN 37127 | 2015-02-16 |
| 1386052041 | Tennessee Dental Professionals PC | Dentist | 2943 South Church Rd., Suite E, Murfreesboro, TN 37127 | 2014-07-25 |
| 1720491749 | Lifepoint Pharmacy | Durable Medical Equipment & Medical Supplies | 3163 South Church Street, Murfreesboro, TN 37127 | 2014-06-06 |
| Find all providers in zip 37127 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316201882 | Wingate Mobile, Inc. | Radiologic Technologist | 323 Savannah Rdg, Murfreesboro, TN 37127-8331 | 2012-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699179770 | Elisa Talwar | Radiologic Technologist | 276 Bishop Rd, Dyersburg, TN 38024-8416 | 2014-10-17 |
| 1801211040 | Marcella George | Radiologic Technologist | 8033 Ray Mears Blvs, Knoxvile, TN 37919 | 2014-02-25 |
| 1033373659 | Vicki Guinn Dorning | Radiologic Technologist | 20 Kylewood Rd, Lawrenceburg, TN 38464-4711 | 2008-07-13 |
| 1982888970 | Amanda L Hooper | Radiologic Technologist | 5750 Lake Resort Dr, B105, Chattanooga, TN 37415-7037 | 2007-12-26 |
| 1306954367 | Sound Image Inc | Radiologic Technologist | 4401 Aylesbury Dr, Knoxville, TN 37918-7042 | 2006-08-29 |
| 1235184052 | Contract Health Services, Inc. | Radiologic Technologist | 2016 Castaic Ln, Knoxville, TN 37932-1557 | 2006-05-23 |
| 1770583692 | Lucinda Seaver | Radiologic Technologist | 97 Railroad Rd, Westpoint, TN 38486-5310 | 2005-07-22 |
| 1174995708 | Sheri Tittle | Radiologic Technologist | 2257 Wilma Rudolph Blvd, Clarksville, TN 37043 | 2015-10-22 |
| 1043583081 | Jessica Hitchcock | Radiologic Technologist | 136 E Spring St, Cookeville, TN 38501-3208 | 2012-02-22 |
| 1881967826 | Jacob Cross | Radiologic Technologist | 136 E Spring St, Cookeville, TN 38501-3208 | 2012-02-22 |
| Find all providers with the same taxonomy | ||||
| City | MURFREESBORO |
| Zip Code | 37127 |
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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.