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AMANDA M TYDLASKA CPNP
NPI 1285839241
Nurse Practitioner - Pediatrics in Fort Worth, TX

Active since June 19, 2007
801 7TH AVE, FORT WORTH, TX 76104(682) 885-4045(682) 885-7497 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 21, 2021, Apr 6, 2021 (2 updates tracked since 2021).

About Amanda M Tydlaska Cpnp NPPES

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

AMANDA M TYDLASKA CPNP (NPI 1285839241) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (617262) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1285839241
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameAMANDA M TYDLASKACredential: CPNP
Location Address801 7TH AVEFort Worth, TX 76104-2733
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396
Phone(682) 885-4045
Fax(682) 885-7497
Sole ProprietorNo
Enumeration DateJune 19, 2007
Last NPPES UpdateApril 21, 20212 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1285839241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 617262
801 7TH AVE, Fort Worth, TX 76104
Open in Google Maps ↗

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.

JON MICHAEL BADGWELL M.D.
Anesthesiology
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4054
MR. DAVID E REDELSPERGER RPH, DPH
Pharmacist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4184
ALLISON L. HYLAND CRNA
Nurse Anesthetist, Certified Registered
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4054
DR. ROBERT L URSPRUNG M.D.
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE, COOK CHILDRENS, DEPT OF NEONATOLOGY
FORT WORTH, TX 76104
Tarrant County (682) 885-4283
DR. JONATHAN HENRY NEDRELOW M.D.
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4283
DR. BENJAMIN SANFORD BRANN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4283
DR. SUSAN LYNN SWARD-COMUNELLI M.D.
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4283
DR. CHANDA RENEE SIMPSON M.D.
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4283

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 Amanda Tydlaska's NPI number?

The NPI number for Amanda Tydlaska is 1285839241. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Amanda Tydlaska located?

Amanda Tydlaska practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-4045.

What is Amanda Tydlaska's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Amanda Tydlaska was last updated on April 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.