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LANDEN TIDRICK
NPI 1457249096
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since June 24, 2025
1111 W 17TH ST, TULSA, OK 74107(918) 607-9031 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Landen Tidrick NPPES

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

LANDEN TIDRICK (NPI 1457249096) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1457249096
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLANDEN TIDRICK
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address15936 Munson CtSkiatook, OK 74070-4784
Phone(918) 607-9031
Sole ProprietorYes
Enumeration DateJune 24, 2025
NPPES CertifiedJune 24, 2025
✔ NPI 1457249096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1111 W 17TH ST, Tulsa, OK 74107
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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.

GRAHAM NATHAN JAMEISON MAT, ATC
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 237-2828
MARIYA BOBEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KARLYN TANZEY
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KAYLEY ANTHAMATTEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
CHASE YAGER
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (405) 613-1540
MACKENZIE LYNN HATTABAUGH
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
ASHLEE EASTMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 805-1752
DAVID ROBERT WAXMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

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 Landen Tidrick's NPI number?

The NPI number for Landen Tidrick is 1457249096. It was assigned to this individual provider in the NPPES registry on June 24, 2025.

Where is Landen Tidrick located?

Landen Tidrick practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 607-9031.

What is Landen Tidrick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Landen Tidrick was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.