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TIMATHY ALLEN TIDWELL
NPI 1770299935
Licensed Practical Nurse in Greenville, OH

Active since January 30, 2023
600 WALNUT ST, GREENVILLE, OH 45331(937) 548-6842 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Timathy Allen Tidwell NPPES

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

TIMATHY ALLEN TIDWELL (NPI 1770299935) is an individual licensed practical nurse in Greenville, Ohio, licensed in Ohio (LPN117180MEDS) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1770299935
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameTIMATHY ALLEN TIDWELL
Location Address600 WALNUT STGreenville, OH 45331-1944
Mailing Address600 Walnut StGreenville, OH 45331-1944 · (937) 548-6842
Phone(937) 548-6842
Sole ProprietorNo
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1770299935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · LPN117180MEDS
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
600 WALNUT ST, Greenville, OH 45331
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Other Identifiers 1

OtherRQ790093OH · Ohio Drivers License

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.

ASHLEY SUZETTE STONEROCK
Prevention Professional
600 WALNUT ST
GREENVILLE, OH 45331
Darke County (937) 417-3093
MR. NATHAN ALAN DULING LSW
Social Worker
600 WALNUT ST
GREENVILLE, OH 45331
Darke County (937) 548-6842
SHERRY L CAMACHO LCDC II
Counselor (Addiction (Substance Use Disorder))
600 WALNUT ST
GREENVILLE, OH 45331
Darke County (937) 548-6842
DENA JO SHAW LMHCA
Counselor (Mental Health)
600 WALNUT ST
GREENVILLE, OH 45331
Darke County (937) 548-6842
COLLETTE RENEE WELCH CPRS
Peer Specialist
600 WALNUT ST
GREENVILLE, OH 45331
Darke County (937) 548-6842
SHIRLEY A RASOR LICDC
Counselor (Addiction (Substance Use Disorder))
600 WALNUT ST
GREENVILLE, OH 45331
Darke County (937) 548-6842
TRACIE COPELAND-SHUFF
Peer Specialist
600 WALNUT ST
GREENVILLE, OH 45331
Darke County (937) 548-6842
ALISA E BUBECK SWA
Case Manager/Care Coordinator
600 WALNUT ST
GREENVILLE, OH 45331
Darke County (937) 547-7330

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 Timathy Tidwell's NPI number?

The NPI number for Timathy Tidwell is 1770299935. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Timathy Tidwell located?

Timathy Tidwell practices at 600 Walnut St, Greenville, OH 45331. The listed phone number is (937) 548-6842.

What is Timathy Tidwell's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Timathy Tidwell was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.