Dr. Karen a. Tidmore

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO 0000000400 Issued in TN

Legal business name

DR. KAREN A. TIDMORE

Practice address

1811 Sharp Springs Rd
Winchester, TN 37398-4659

Phone

(931) 967-7716

NPI assigned

Jan 14, 2015

Last updated

Jan 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Tidmore

Title

Family Practice

Phone

(931) 967-7716

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Glen Carson, NP-C

  • Family Nurse Practitioner
  • Antioch, TN
  • NPI 1285943605
  NPD (past)
• Katie Goodman Hill, APN FNP-BC

  • Family Nurse Practitioner
  • Tullahoma, TN
  • NPI 1831449990
  NPD (past)
• Mindy D Holloway, ACNP-BC, FNP-BC

  • Family Nurse Practitioner
  • Winchester, TN
  • NPI 1881852671
  NPD (past)

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1679962641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 SHARP SPRINGS RD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373984659",
            "telephone_number": "931-967-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 SHARP SPRINGS RD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373984659",
            "telephone_number": "931-967-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KAREN A. TIDMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "TIDMORE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "FAMILY PRACTICE",
        "authorized_official_telephone_number": "931-967-7716"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000015232",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO 0000000400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE TENNCARE",
            "identifier": "0058092",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4441604",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0058092",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Morgan Delucenay, M.S., BCBA, LBA
• Dialysis Associates, LLC (RCG Winchester)
• Jonathan Diggs
• Meredith Joy Dixon, OTR/L
• Dr Eckard MD
• Michael Dubose, PT
• Sierra Alexis Duncan, SLP-CCC
• Rachel Dye, SLP-CCC
• Madalyn Paige Edde, SLP-CCC
• Mark Tyler Edge

• Family Medicine Physician in Winchester, TN
• Providers in Winchester, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.