BETHANY MARIE GARNER TIDWELL (NPI# 1790197937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790197937 |
| Entity Type | Individual |
| Full Name | BETHANY MARIE GARNER TIDWELL |
| Credential | CRNP |
| Practice Address |
1700 6th Ave S Birmingham AL 35249-6842 |
| Practice Telephone | 2059963288 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2015-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1-128579 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1700 6TH AVE S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35249-6842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740261973 | William Ward Hurd | Obstetrics & Gynecology | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2005-11-05 |
| 1558962092 | Victoria Elizabeth Webster | Registered Nurse | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2020-11-02 |
| 1033717681 | Julia Teeters | Registered Nurse | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2020-10-15 |
| 1245838499 | Sydnie Klein Bradford | Registered Nurse | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2020-10-10 |
| 1245845452 | Faith Danielle Gosa | Registered Nurse | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2020-09-14 |
| 1811502156 | Kelsey Cardinal | Registered Nurse | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2020-09-14 |
| 1770105942 | Hannah Morgan Hodges | Nurse Anesthetist, Certified Registered | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2020-05-11 |
| 1295357754 | Nicole Britney Vallor | Nurse Anesthetist, Certified Registered | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2020-05-07 |
| 1447870894 | Diamond Santetreas Robinson | Registered Nurse | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2020-04-24 |
| 1417577925 | Kathryn Capps | Registered Nurse | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2020-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770070682 | Jordan Bauer | Student in an Organized Health Care Education/Training Program | 625 19 Street South, Birmingham, AL 35249 | 2018-04-16 |
| 1356847917 | Kathryn Leonards Sinquefield | Student in an Organized Health Care Education/Training Program | 625 19 Th Street South, Birmingham, AL 35249 | 2018-04-03 |
| 1285167288 | Lauren Marie Theiss | Student in an Organized Health Care Education/Training Program | 625 19th Street S, Birmingham, AL 35249 | 2017-04-06 |
| 1992159040 | Christopher Lee Anderson | Student in an Organized Health Care Education/Training Program | 625 19th St South, Birmingham, AL 35249 | 2016-04-14 |
| 1154715365 | Danielle Demontigny Avila | Internal Medicine | 625 19th St. South, Birmingham, AL 35249 | 2015-03-25 |
| 1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
| 1760828560 | Diana Murro Lin | Pathology | 619 19th St S # Hsb130, Birmingham, AL 35249 | 2013-05-20 |
| 1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
| 1255693149 | William M Perez | Obstetrics & Gynecology | 176f 10360d 619 19th Street South, Birmingham, AL 35249 | 2012-06-15 |
| 1942504642 | Melanie R. Sparks | Nurse Practitioner | 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 | 2011-01-10 |
| Find all providers in zip 35249 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802009 | Konda Keebler | Nurse Practitioner | 7001 Crestwood Blvd/suite 804, Birmingham, AL 35210 | 2018-05-25 |
| 1619495348 | Hayley Graham Entrekin | Nurse Practitioner | 500 22nd St S Ste 506, Birmingham, AL 35233-3110 | 2017-09-01 |
| 1952851669 | Holly Marie Strauss | Nurse Practitioner | 1791 Cahaba Valley Rd, Birmingham, AL 35242 | 2016-10-05 |
| 1548653405 | Natalie Mcrae | Nurse Practitioner | 619 19th St S # Wpp333, Birmingham, AL 35249-6979 | 2015-03-16 |
| 1184851966 | Barbara A Boreen | Nurse Practitioner | 833 Saint Vincents Dr Ste 501, Pob IIi, Birmingham, AL 35205-1619 | 2009-06-18 |
| 1538269618 | Natalie Alicia Floyd | Nurse Practitioner | 700 19th Street South, Birmingham, AL 35233 | 2006-09-25 |
| 1144263898 | Amanda Couch Crawford | Nurse Practitioner | 701 Princeton Ave Sw Ste 4102, Birmingham, AL 35211-1303 | 2006-06-13 |
| 1013484278 | Rebecca Elizabeth Smith | Nurse Practitioner | 1400 6th Ave S, Birmingham, AL 35233-1502 | 2018-10-25 |
| 1588158877 | Samantha Diane Williams | Nurse Practitioner | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2018-06-19 |
| 1164969531 | Haley Dye Lacey | Nurse Practitioner | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2017-01-24 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35249 |
Please comment or provide details below to improve the information on BETHANY MARIE GARNER TIDWELL.
| 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.