Jessica Tidwell

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000019981 Issued in TN

Practice address

209 S Royal Oaks Blvd
#222
Franklin, TN 37064-1310

Phone

(615) 794-0800

NPI assigned

Jul 21, 2015

Last updated

Jan 25, 2022By the provider in NPPES

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

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nashville Pain and Wellness Center PLLCGroup PAC ID 1951555655, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Horizon Medical Center Hospital, Dickson, TN, CCN 440046

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Nashville Pain & Wellness Center PLLC

  dba Nashville Pain Center

  • Pain Medicine (Anesthesiology) Physician
  • Dickson, TN
  • NPI 1982949814
  Medicare reassignment Care Compare group NPD
• 2E Chiropractic and Medical, LLC

  • Rehabilitation Chiropractor
  • Franklin, TN
  • NPI 1881172831
  NPD (past)
• Dickson Pain and Wellness PLLC

  • Family Nurse Practitioner
  • Dickson, TN
  • NPI 1457651911
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Tennessee Hospital Corporation

  dba Tristar Horizon Medical Center

  • General Acute Care Hospital
  • Dickson, TN
  • NPI 1871530832
  Care Compare affiliation

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1649655531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681508",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681508",
            "telephone_number": "615-661-7888",
            "fax_number": "615-661-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S ROYAL OAKS BLVD",
            "address_2": "#222",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370641310",
            "telephone_number": "615-794-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000019981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zandria Naomi Thornton
• Thrive Mental Health Services
• Makayla Thrush
• Hayley Thurman, MS, LPC
• Natalie Thwaites
• Rachel Chacko Tiemann, MPAS, PA-C
• James A. Tilley, O.D.
• Tilstra Physical Therapy, LLC
• Lindsay Rae Tincher, PHARMD
• Robert Lane Tippens, M.D.

• Family Nurse Practitioner in Franklin, TN
• Providers in Franklin, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.