Julia L Tidswell, NP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

APN00997442-NP Issued in CO

Practice address

403 Kendall Dr
Lamar, CO 81052-3953

Phone

(719) 691-3341

NPI assigned

May 9, 2022

Last updated

May 9, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prowers County Hospital DistrictGroup PAC ID 4486568508, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prowers Medical Center Hospital, Lamar, CO, CCN 061323

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prowers County Hospital District

  dba Prowers Medical Center

  • Critical Access Hospital
  • Lamar, CO
  • NPI 1821052929
  Medicare reassignment Care Compare group NPD
• Prowers County Hospital District

  dba Lamar Medical Clinic

  • Rural Health Clinic/Center
  • Lamar, CO
  • NPI 1649505074
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prowers County Hospital District

  dba Prowers Medical Center

  • Critical Access Hospital
  • Lamar, CO
  • NPI 1821052929
  Care Compare affiliation

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1861138356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 KENDALL DR",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523942",
            "telephone_number": "719-336-6767",
            "fax_number": "719-336-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 KENDALL DR",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523953",
            "telephone_number": "719-691-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDSWELL",
        "first_name": "JULIA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "APN00997442-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@prowersmedicalcenterclinic.hin.us",
            "affiliation": "N",
            "address_1": "403 Kendall Dr",
            "city": "LaMar",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810523953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela Tabb, RN
• Robin Lynn Thacker, PHARM D RPH
• The Cornerstone Resource Center
• Natasha Lynn Thompson, DENTAL HYGIENIST
• Megan Renee Thrall
• Shelly Lynn Tombleson, AAS
• Total Health Care Weed NP LLC (Total Health Care Weednp)
• Elisa Joy Troyer, MD
• Valley-Wide Health Systems, Inc. (Valley-Wide Counseling & Support Center - Lamar)
• Valley-Wide Health Systems, Inc. (Valley-Wide Support Services - Lamar)

• Family Medicine Physician in Lamar, CO
• Providers in Lamar, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.