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JENNA TIDWELL
NPI 1285187435
Genetic Counselor, MS in Oakland, CA

Active since July 24, 2016
3505 BROADWAY, OAKLAND, CA 94611(510) 752-6298 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2022, Mar 17, 2018, Nov 1, 2017 (3 updates tracked since 2017).

About Jenna Tidwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA TIDWELL (NPI 1285187435) is an individual genetic counselor, ms provider in Oakland, California, licensed in California (GC000665) and active in the NPI registry since July 2016. She maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1285187435
Entity TypeIndividualFemale
Primary Taxonomy170300000X
Provider Legal NameJENNA TIDWELL
Location Address3505 BROADWAYOakland, CA 94611-5714
Mailing Address3505 BroadwayOakland, CA 94611-5714
Phone(510) 752-6298
Sole ProprietorNo
Enumeration DateJuly 24, 2016
Last NPPES UpdateJanuary 3, 20223 updates tracked since enumeration
✔ NPI 1285187435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGenetic Counselor, MSOther Service Providers
Taxonomy Code170300000X
License✔ Licensed in CA · GC000665
Definition
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
3505 BROADWAY, Oakland, CA 94611
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Secondary Practice Location 1

Location 11000 W La Veta AveOrange, CA 92868-4304 · Phone (714) 734-6200 · Fax (714) 734-6218

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAIBIR SINGH KHERA
Student in an Organized Health Care Education/Training Program
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1200
MS. SUE A. HINES MSW
Social Worker (Clinical)
3505 BROADWAY, 7TH FLOOR
OAKLAND, CA 94611
Alameda County (510) 752-6842
DR. REBECCA LADD EAKINS AUSTIN M.D.
Pediatrics
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1200
BRIANNA GENTILE MS, MPH, CGC
Genetic Counselor, MS
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
DR. ROXIE MARIE MAYFIELD-STONE PH.D.
Psychologist (Clinical)
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1447
KATE PAYNE LCSW
Social Worker (Clinical)
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-5711
KAISER PERMANENTE
Genetic Counselor, MS
3505 BROADWAY, MOSSWOOD BUILDING, 10TH FLOOR
OAKLAND, CA 94611
Alameda County (510) 752-6396
FURYAL MAHMOOD MS, LCGC
Genetic Counselor, MS
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-6298

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Tidwell's NPI number?

The NPI number for Jenna Tidwell is 1285187435. It was assigned to this individual provider in the NPPES registry on July 24, 2016.

Where is Jenna Tidwell located?

Jenna Tidwell practices at 3505 Broadway, Oakland, CA 94611. The listed phone number is (510) 752-6298.

What is Jenna Tidwell's specialty?

The primary specialty registered for this NPI is Genetic Counselor, MS with taxonomy code 170300000X.

When was this NPI record last updated?

The NPPES record for Jenna Tidwell was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.