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

Sex

Female

Sole proprietor

No

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.

• Kentucky Rural Health Information Technology Network, Inc.

  • Primary Care Clinic/Center
  • London, KY
  • NPI 1972063204

  KY

  Medicare reassignment Care Compare group NPD
• Westbrook Medical Center, PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1598893166

  TN

  Medicare reassignment NPD
• Kentucky Rural Health Information Technology Network Inc

  • Rural Health Clinic/Center
  • London, KY
  • NPI 1902758410
  Care Compare group
• Kentucky Rural Health Information Technology Network Inc

  • Rural Health Clinic/Center
  • Williamsburg, KY
  • NPI 1982556494
  Care Compare group
• Kentucky Rural Health Information Technology Network, Inc.

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

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 Inc 10 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2025.

{
    "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
• Trinity Support Services, Inc.

• All providers in London, KY
• 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.