Alyssa Tidmore, MS

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

70.000804TEMP Issued in OH

Practice address

3535 Olentangy River Rd FL 1
Columbus, OH 43214-3908

Phone

(614) 566-3234

NPI assigned

Jul 25, 2023

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

• Alice Tidmore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1669153540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2991 ANGELO JOSEPH LN APT 108",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432040011",
            "telephone_number": "580-821-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 OLENTANGY RIVER RD FL 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143908",
            "telephone_number": "614-566-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDMORE",
        "first_name": "ALYSSA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "OH",
            "license": "70.000804TEMP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "TIDMORE",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Tice, LSW
• Michael Tichy, RN, CNP
• Eliza Tickhill
• Devin Tickle, LPCC-S
• Jean Marie Tidd, LISW
• Brittany Tidwell, D.O.
• Caroline E Tidwell, AUD
• David Tidwell, PA-C
• Jessica Jihyun Tieche, CRNA
• Jacob Christian Tiell, DO

• Genetic Counselor (M.S.) in Columbus, OH
• Providers in Columbus, OH by specialty
• Genetic Counselor (M.S.) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.