Judith Yeager Tiddy, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

RN966388 Issued in DC

Practice address

Walter Reed Army Medical Ctr
6900 Georgia Ave., NW
Washington, DC 20307-0001

Phone

(202) 782-7341

NPI assigned

Apr 16, 2007

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

Other names 1

• Judith Aileen Yeager Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396960498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAMSEY ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223012130",
            "telephone_number": "202-782-9325",
            "fax_number": "202-782-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALTER REED ARMY MEDICAL CTR",
            "address_2": "6900 GEORGIA AVE., NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203070001",
            "telephone_number": "202-782-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDDY",
        "first_name": "JUDITH",
        "middle_name": "YEAGER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "DC",
            "license": "RN966388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "YEAGER",
            "middle_name": "AILEEN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul Andrew Tibbits, M.D.
• Mattie Tibbs
• Chanceline Ngehbenwi Tibui
• Ashley Nicole Tice, AU.D.
• Divine F. Ticha
• Lauren D Tidwell
• Eucheria Tiebia
• Lindsay H Tiell, MSW, LICSW, LCSW-C
• Brett Phillip Tielman-Fenelus
• Niven T Tien, DDS,MD

• Acute Care Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Acute Care Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.