Trolondia Elizabeth Tidwell

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1336 NW 100TH St
Oklahoma City, OK 73114-4912

Phone

(405) 889-0407

NPI assigned

May 11, 2012

Last updated

May 11, 2012By the provider in NPPES

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

Other names 1

• NA NA NA Other name

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": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1699034561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 NW 105TH",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73114",
            "telephone_number": "405-889-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 NW 100TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731144912",
            "telephone_number": "405-889-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "TROLONDIA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NA",
            "last_name": "NA",
            "middle_name": "NA",
            "credential": "DA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Crystal G Tidball
• Laura Tidmore, PHARMD
• Lorisa Dawn Tidwell, LCSW
• Michael S Tidwell
• Timothy Scott Tidwell II, DNP, NP-C
• Donna Jo Tiemann, MAR
• Hai Tien, D.C
• Katie Doan Tienabeso, OD
• Tekenari Eric Tienabeso
• Ryan McKenna Tierney, MD

• Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.