Robin Tidwell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

11355 S Parker Rd Unit 103
Parker, CO 80134-7705

Phone

(209) 747-2107

NPI assigned

Jul 20, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthone Carenow Urgent Care LLCGroup PAC ID 3375837339, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Healthone Carenow Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Greenwood Village, CO
  • NPI 1083077051
  Medicare reassignment Care Compare group
• Emergency Service Physicians, Inc.

  • Emergency Medicine Physician
  • Wheat Ridge, CO
  • NPI 1326097668
  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment
• Emergency Service Physicians, Inc.

  • Emergency Medicine Physician
  • Aurora, CO
  • NPI 1548895048
  NPD
• Emergency Service Physicians, Inc.

  • Emergency Medicine Physician
  • Littleton, CO
  • NPI 1659906154
  NPD
• Cep America - California

  • Emergency Medicine Physician
  • Redding, CA
  • NPI 1376604686
  NPD

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1154774586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 S LISBON WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800156439",
            "telephone_number": "425-765-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11355 S PARKER RD UNIT 103",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347705",
            "telephone_number": "209-747-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "ROBIN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxine Thompson
• Richard W. Thompson, MD
• Sean Hugh Thompson, D.C. C.C.A.P.
• Rachel Lauren Thornton, PT, DPT
• Benjamin Thorpe
• Michael Tiernan
• Katherine Tillman, PTA
• Tiny Hands Therapy, Inc.
• Tiny Talk LTD
• TLC Respite Care, LLC

• Physician Assistant in Parker, CO
• Providers in Parker, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.