Active NPI
Caroline E Tidwell, AUD
- Audiologist
- Columbus, OH
National Provider Identifier
1033819016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A.02448
- Practice address
- 700 Childrens Dr
Columbus, OH 43205-2639 - Phone
- (614) 722-2000
- NPI assigned
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | |||
| Audiologist | 231H00000X | A.02448 | OH | Primary |
Addresses
Primary practice location
700 Childrens Dr
Columbus, OH 43205-2639
Mailing address
700 Childrens Dr
Columbus, OH 43205-2639
Phone (614) 722-2000
Other practice location 1
536 S Trimble Rd
Mansfield, OH 44906-3418
Phone (419) 528-3150
Other practice location 2
1644 N Limestone St
Springfield, OH 45503-2652
Phone (614) 722-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018387 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A.02448 | OH | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1033819016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052639",
"telephone_number": "614-722-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052639",
"telephone_number": "614-722-2000"
}
],
"practiceLocations": [
{
"address_1": "536 S Trimble Rd",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449063418",
"country_code": "US",
"telephone_number": "419-528-3150",
"fax_number": "419-528-3152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1644 N Limestone St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OH",
"postal_code": "455032652",
"country_code": "US",
"telephone_number": "614-722-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIDWELL",
"first_name": "CAROLINE",
"middle_name": "E",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-07",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A.02448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018387",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.