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KELSEY TIDLAND
NPI 1568815314
Nurse Practitioner - Family in New York, NY

Active since July 18, 2016
50 MURRAY ST, APT #1319, NEW YORK, NY 10007(949) 584-3314 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelsey Tidland NPPES

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

KELSEY TIDLAND (NPI 1568815314) is an individual family provider in New York, New York, licensed in New York (341723) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1568815314
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY TIDLAND
Location Address50 MURRAY ST, APT #1319New York, NY 10007-2252
Mailing Address54 New Hyde Park RdGarden City, NY 11530-3909 · (516) 488-1313 · Fax (516) 488-1368
Phone(949) 584-3314
Sole ProprietorYes
Enumeration DateJuly 18, 2016
Last NPPES UpdateMay 16, 2018
✔ NPI 1568815314 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 NY · 341723
50 MURRAY ST, New York, NY 10007
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kelsey Tidland's NPI number?

The NPI number for Kelsey Tidland is 1568815314. It was assigned to this individual provider in the NPPES registry on July 18, 2016.

Where is Kelsey Tidland located?

Kelsey Tidland practices at 50 Murray St Apt #1319, New York, NY 10007. The listed phone number is (949) 584-3314.

What is Kelsey Tidland'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 Kelsey Tidland was last updated on May 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.