Tammie Lucinda Tidwell

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

1700 Red Rock St
Las Vegas, NV 89146-1232

Phone

(702) 406-9304

Fax

(702) 367-3445

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1427607704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RED ROCK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461232",
            "telephone_number": "702-406-9304",
            "fax_number": "702-367-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 RED ROCK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461232",
            "telephone_number": "702-406-9304",
            "fax_number": "702-367-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "TAMMIE",
        "middle_name": "LUCINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sawayna Ticey
• Patrick Ticman, MD
• Angela Tidwell
• Carl Tidwell
• Lashawndra V Tidwell
• Bing Tie
• Samuel Tielemans
• Dave Tien
• Lynn X Tien
• Cynthia Tiencharoen

• Attendant Care Provider in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Attendant Care Provider in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.