Ivy Tidwell Prothro, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

36032 Issued in TN

Practice address

1400 Liberty Pike Ste 1000
Franklin, TN 37067-8636

Phone

(615) 807-0497

NPI assigned

Feb 12, 2020

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

Medicare fee-for-service enrollment

Enrolled in DC

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

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 and National Provider Directory roles.

• Kelly Goodman NP & Associates PC

  • Primary Care Nurse Practitioner
  • Bethesda, MD
  • NPI 1740503689

  DC, Family

  Medicare reassignment NPD

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1811529381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LIBERTY PIKE STE 1000",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678636",
            "telephone_number": "615-807-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LIBERTY PIKE STE 1000",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678636",
            "telephone_number": "615-807-0497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1624 Westgate Cir Ste 150",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370278054",
            "country_code": "US",
            "telephone_number": "615-988-8077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROTHRO",
        "first_name": "IVY",
        "middle_name": "TIDWELL",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Proffitt, OD
• Prohealth Rural Health Services
• Prohealth Rural Health Services Inc. (Prohealth Rural Health Services)
• Prohealth Rural Health Services, Inc
• Project Play Therapy, LLC
• Laurel Elizabeth Proulx, DPT
• Victoria Isabella Proulx, MS SLP-CFY
• Kassie Provost
• Kristen Provost
• Madelaine Prue

• 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 Mar 12, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.