Jessica Tiderman, DEM

Primary specialty

Lay MidwifeTaxonomy code 175M00000X

Practice address

216 Killarney Cir Apt a
Bowling Green, OH 43402-3493

Phone

(567) 868-3311

NPI assigned

Jan 15, 2013

Last updated

Feb 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1306183959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 KILLARNEY CIR APT A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434023493",
            "telephone_number": "567-868-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 KILLARNEY CIR APT A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434023493",
            "telephone_number": "567-868-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDERMAN",
        "first_name": "JESSICA",
        "credential": "DEM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Theis
• Abigail Nicole Thomas
• Dominique Danielle Thomas, DDS
• Rebecca A Thomas, RD
• Neil Crawford Thompson, ATC
• Carla Sue Tiell
• Logan Tiell
• Alexander Tiffany, M.A., CDCA
• Sky Tillett
• Brennan Tinnerman

• Lay Midwife in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Lay Midwife in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.