BREANNA TIDWELL - NPI 1548875784 - Case Manager/Care Coordinator in Hot Springs, AR

Q: What is Breanna Tidwell's NPI number?

The NPI number for Breanna Tidwell is 1548875784. It was assigned to this individual provider in the NPPES registry on September 14, 2020.

Q: What is Breanna Tidwell's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Breanna Tidwell was last updated on November 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Breanna Tidwell NPPES

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

BREANNA TIDWELL (NPI 1548875784) is an individual case manager/care coordinator provider in Hot Springs, Arkansas and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1548875784

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameBREANNA TIDWELL

Location Address310 WHITTINGTON AVEHot Springs, AR 71901-3406

Mailing Address310 Whittington AveHot Springs, AR 71901-3406 · (501) 623-3477 · Fax (501) 624-7498

Phone(501) 623-3477

Fax(501) 624-7498

Sole ProprietorNo

Enumeration DateSeptember 14, 2020

Last NPPES UpdateNovember 22, 20233 updates tracked since enumeration

NPPES CertifiedNovember 22, 2023

✔ NPI 1548875784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedBehavior TechnicianTaxonomy 106S00000X

310 WHITTINGTON AVE, Hot Springs, AR 71901

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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.

NETHISA MCGOWAN QBHP

Case Manager/Care Coordinator