Active NPI
Nicholas Tidwell
- Psychiatric/Mental Health Registered Nurse
- Nashville, TN
National Provider Identifier
1770499188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 224556
- Practice address
- 250 Cumberland BND
Nashville, TN 37228-1804 - Phone
- (615) 743-0125
- NPI assigned
- Aug 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 224556 | TN | Primary |
Addresses
Primary practice location
250 Cumberland BND
Nashville, TN 37228-1804
Mailing address
158 Gallant CT
Clarksville, TN 37043-2893
Other practice location 1
812 Geenwood Ave
Clarksville, TN 37040
Phone (931) 920-7355
Other names 1
- Nick Tidwell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1770499188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 GALLANT CT",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370432893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 CUMBERLAND BND",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281804",
"telephone_number": "615-743-0125"
}
],
"practiceLocations": [
{
"address_1": "812 Geenwood Ave",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "37040",
"country_code": "US",
"telephone_number": "931-920-7355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIDWELL",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "TN",
"license": "224556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICK",
"last_name": "TIDWELL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.