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DEBRA KAY TIDMORE
NPI 1720624018
Licensed Vocational Nurse in Haltom City, TX

Active since November 21, 2019
3529 DENTON HWY STE D, HALTOM CITY, TX 76117(817) 759-0707(817) 759-0828 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Debra Kay Tidmore NPPES

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

DEBRA KAY TIDMORE (NPI 1720624018) is an individual licensed vocational nurse in Haltom City, Texas, licensed in Texas (171276) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1720624018
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameDEBRA KAY TIDMORE
Location Address3529 DENTON HWY STE DHaltom City, TX 76117-3293
Mailing Address3529 Denton Hwy Ste DHaltom City, TX 76117-3293 · (817) 759-0707
Phone(817) 759-0707
Fax(817) 759-0828
Sole ProprietorNo
Enumeration DateNovember 21, 2019
✔ NPI 1720624018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in TX · 171276
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
3529 DENTON HWY STE D, Haltom City, TX 76117
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL BRADFORD DIENES LVN
Licensed Vocational Nurse
3529 DENTON HWY STE D
HALTOM CITY, TX 76117
Tarrant County (817) 759-0707
CHERIE R SHAW LCDC-M.S, QMHP
Counselor (Addiction (Substance Use Disorder))
3529 DENTON HWY STE D
HALTOM CITY, TX 76117
Tarrant County (817) 759-0707
JENNIFER GRIFFITH
Counselor (Addiction (Substance Use Disorder))
3529 DENTON HWY STE D
HALTOM CITY, TX 76117
Tarrant County (817) 759-0707
RITA MICHELE JACKSON
Licensed Vocational Nurse
3529 DENTON HWY STE D
HALTOM CITY, TX 76117
Tarrant County (817) 759-0707
ESTEBAN RICARDO SALAS
Licensed Vocational Nurse
3529 DENTON HWY STE D
HALTOM CITY, TX 76117
Tarrant County (817) 759-0707
TEXAS TREATMENT SERVICES, LLC
Clinic/Center (Methadone)
3529 DENTON HWY STE D
HALTOM CITY, TX 76117
Tarrant County (817) 759-0707
COURTNEY GOFF
Counselor (Addiction (Substance Use Disorder))
3529 DENTON HWY STE D
HALTOM CITY, TX 76117
Tarrant County (817) 759-0707
JAMES DAVID DURBIN
Counselor (Addiction (Substance Use Disorder))
3529 DENTON HWY STE D
HALTOM CITY, TX 76117
Tarrant County (817) 759-0707

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 Debra Tidmore's NPI number?

The NPI number for Debra Tidmore is 1720624018. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Where is Debra Tidmore located?

Debra Tidmore practices at 3529 Denton Hwy Ste D, Haltom City, TX 76117. The listed phone number is (817) 759-0707.

What is Debra Tidmore's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Debra Tidmore was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.