TERRY TIDWELL (NPI# 1649466798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 136181 | TX | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LVN | 136181 | 01 |
| Street Address |
436 S MAIN ST |
| City | SPRINGTOWN |
| State | TX |
| Zip Code | 76082-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124214192 | Anna Marie Jorgensen | Licensed Vocational Nurse | 436 S Main St, Springtown, TX 76082-2608 | 2007-09-24 |
| 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 |
| Find all providers in zip 76082 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 | SPRINGTOWN |
| Zip Code | 76082 |
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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.