STACY LANELL TIDD MSN/ED, FNP-BC
NPI 1356125959
Nurse Practitioner - Family in Templeton, CA

Active since August 23, 2023
959 LAS TABLAS RD STE B4, TEMPLETON, CA 93465(805) 423-9947(801) 434-1107 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 8, 2025, Aug 23, 2023 (2 updates tracked since 2023).

About Stacy Lanell Tidd Msn/ed, Fnp-bc NPPES

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

STACY LANELL TIDD MSN/ED, FNP-BC (NPI 1356125959) is an individual family provider in Templeton, California, licensed in California (95026799) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1356125959
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY LANELL TIDDCredential: MSN/ED, FNP-BC
Location Address959 LAS TABLAS RD STE B4Templeton, CA 93465-9703
Mailing Address959 Las Tablas Rd Ste B4Templeton, CA 93465-9703 · (805) 423-9947 · Fax (805) 434-1107
Fax(801) 434-1107
Sole ProprietorYes
Enumeration DateAugust 23, 2023
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1356125959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95026799
959 LAS TABLAS RD STE B4, Templeton, CA 93465

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 Stacy Tidd's NPI number?

The NPI number for Stacy Tidd is 1356125959. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Where is Stacy Tidd located?

Stacy Tidd practices at 959 Las Tablas Rd Ste B4, Templeton, CA 93465. The listed phone number is (805) 423-9947.

What is Stacy Tidd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stacy Tidd was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.