Rebekah Jo Tidwell, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

31028 Issued in TN

Practice address

934 S Laurel Rd
London, KY 40744-6314

Phone

(606) 657-2030

NPI assigned

Jan 11, 2022

Last updated

May 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, KY2 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

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kentucky Rural Health Information Technology Network IncGroup PAC ID 6608101522, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kentucky Rural Health Information Technology Network, Inc.

  dba Horizon Health

  • Primary Care Clinic/Center
  • London, KY
  • NPI 1972063204
  Medicare reassignment Care Compare group NPD
• Westbrook Medical Center, PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1598893166
  Medicare reassignment NPD
• Kentucky Rural Health Information Technology Network, Inc.

  dba Horizon Health

  • Rural Health Clinic/Center
  • Williamsburg, KY
  • NPI 1043886591
  NPD

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1194476218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 ADELL REE PARK LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 S LAUREL RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407446314",
            "telephone_number": "606-657-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "REBEKAH",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4035393",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Wayne Thompson
• Francis Britton Thompson, R.PH.
• Jessica Deshae Thompson, OD
• Michael Glass Thompson, PA-C
• Shane C Thurman, DOCTORATE OF PHARM.
• Todd Stokes,M.D.,PLLC
• Together We Can Counseling Center, LLC
• Kelly Deaton Tolliver, M.ED, LPCC
• Tri-State Centers for Sight Inc (Kentucky Eye Institute)
• Trinity Support Services, Inc.

• Family Nurse Practitioner in London, KY
• Providers in London, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.