| NPI | 1316947260 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-07-21 |
| Last Updated | 2011-05-09 |
| Mailing Address | 101 Riverstone Vis Blue Ridge, GA 30513-6648 United States Phone: (706) 632-4400 | Fax: (706) 632-4404 📍 View Map |
| Primary Practice Address | 101 Riverstone Vis, Suite 205 Blue Ridge, GA 30513-6648 United States Phone: (706) 632-4400 | Fax: (706) 632-4404 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 000498165F | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363L00000X – Nurse Practitioner | GA | RN043489 |
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About NPI 1316947260
Lee Ann Tidman CNP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1316947260. The primary specialty listed is Nurse Practitioner. The provider is located in Blue Ridge, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1316947260?
NPI 1316947260 belongs to Lee Ann Tidman CNP, a Nurse Practitioner in Blue Ridge, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1316947260 active?
The current status of NPI 1316947260 in the NPPES registry is Active. The record was last updated on 2011-05-09.
What specialty is NPI 1316947260?
NPI 1316947260 is classified under the taxonomy Nurse Practitioner. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1316947260?
You can verify NPI 1316947260 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1316947260?
The primary practice address on file for NPI 1316947260 is 101 Riverstone Vis, Blue Ridge, GA 30513-6648. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1316947260 issued?
NPI 1316947260 was first issued (enumerated) on 2005-07-21. The NPPES record was last updated on 2011-05-09.
Practice Location Map
Lee Ann Tidman is located at 101 Riverstone Vis, Blue Ridge, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Lee Ann Tidman. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1316947260. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner | RN043489 | GA |