Jordan Ann Tidyman

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

47643 Issued in WY

Practice address

1842 Sugarland Dr Ste 101
Sheridan, WY 82801-5719

Phone

(307) 763-8701

Fax

(307) 224-2293

NPI assigned

Aug 3, 2026

Sex

Female

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

Practice roles

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.

• Sisterhood Sanctuary LLC

  • Obstetrics & Gynecology Nurse Practitioner
  • Sheridan, WY
  • NPI 1790649168
  NPD (past)
• Sisterhood Sanctuary, LLC

  • Clinic/Center
  • Sheridan, WY
  • NPI 1679043756
  NPD (past)

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1346163771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 N SHERIDAN AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013146",
            "telephone_number": "307-429-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 SUGARLAND DR STE 101",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015719",
            "telephone_number": "307-763-8701",
            "fax_number": "307-224-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDYMAN",
        "first_name": "JORDAN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "47643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas H Niethammer, MD, PC
• Thomas J Hogarty, M.D.
• Kelly Ann Thomas, FNP
• Rebecca Briley Thompson, M.D.
• Thrive Therapy, LLC
• Rachel Lynn Tiedeman
• Kathy Ruth Tiffany, M.S., LPC
• Monica Susan Tiffany
• Lori Tima, D.D.S.
• Timberline Counseling LLC

• Registered Nurse in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Registered Nurse in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.