Individual provider Active NPI

Tawnee Tidd, ARNP

  • Nurse Practitioner
  • Wenatchee, WA
National Provider Identifier
1417715780
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61531806 Issued in WA
Practice address
246 N Mission St
Wenatchee, WA 98801-2004
Phone
(509) 662-1955
NPI assigned
Mar 11, 2024
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61531806 WA Primary

Addresses

Primary practice location

246 N Mission St
Wenatchee, WA 98801-2004

Mailing address

16637 Road 9 NW
Quincy, WA 98848-9605

Other practice location 1

1022 N Wenatchee Ave
Wenatchee, WA 98801-3951
Phone (509) 881-8459

Other names 1

  • Tawnee Ottosen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240423004437 WA Practitioner - Nurse Practitioner 3274972237 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Lake Community Health Center CurrentSince Mar 8, 2024 Accepting new patients
Moses Lake Community Health Center CurrentSince Mar 8, 2024 Accepting new patients
Anovaworks, PLLC PastSince Aug 10, 2025 Accepting new patients

Locations

605 S Coolidge St
Moses Lake, WA 98837
Phone (509) 765-0674

605 S Coolidge St
#101
Moses Lake, WA 98837
Phone (509) 765-0674

1450 1st Ave SW
Quincy, WA 98848
Phone (509) 787-6423

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1417715780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16637 ROAD 9 NW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988489605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 N MISSION ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012004",
            "telephone_number": "509-662-1955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1022 N Wenatchee Ave",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988013951",
            "country_code": "US",
            "telephone_number": "509-881-8459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIDD",
        "first_name": "TAWNEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61531806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAWNEE",
            "last_name": "OTTOSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.