Monique Sherri Tidwell, NON-EMERGENCY TRANSP

Primary specialty

Patient Transport Registered Respiratory TherapistTaxonomy code 2279P4000X

License

04990727 Issued in NY

Practice address

120 Easton Ave
Buffalo, NY 14215-3531

Phone

(716) 322-6198

NPI assigned

Jun 12, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Possibilities Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Rochester, NY
  • NPI 1780428813
  NPD Authorized official
• Pleasant Ride Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Buffalo, NY
  • NPI 1083193007
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1083107254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EASTON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153531",
            "telephone_number": "716-322-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EASTON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153531",
            "telephone_number": "716-322-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "MONIQUE",
        "middle_name": "SHERRI",
        "credential": "NON-EMERGENCY TRANSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P4000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Patient Transport",
            "state": "NY",
            "license": "04990727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Tice, RN
• Matthew A Tice, LCSW
• Marie Ticen, MSPT
• Robert Carl Tick, MD
• Catherine Tidd
• Caitlyn Mae Tiedemann, DNP
• Alexander Tiemeier, D.O.
• Amanda Tierney, NP
• Erika Tierney
• Liana R Tierney, DNP, RN, CPNP-PC

• Registered Respiratory Therapist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Registered Respiratory Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.