Averi Tidwell

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

279086 Issued in TN

Practice address

1031 War Eagle Dr
Lewisburg, TN 37091-9800

Phone

(931) 359-1551

NPI assigned

Jun 16, 2025

Last updated

Jun 16, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

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

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1194611152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 WAR EAGLE DR",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370919800",
            "telephone_number": "931-359-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 WAR EAGLE DR",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370919800",
            "telephone_number": "931-359-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "AVERI",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "279086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Estate of P. Laray Rector
• Aaron Matthew Thomas, OTR/L
• Larry D Thomas, DDS
• Azilee C Thompson, NP
• Margaret Ann Throckmorton, APRN
• Tiller Performance and Physio
• Top Flight Medical Group LLC
• Shonda Elaine Tormohlen, FNP-C
• Lora Underwood, PHARMD.
• Barton Vanbibber

• Community Health Registered Nurse in Lewisburg, TN
• Providers in Lewisburg, TN by specialty
• Community Health Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.