Kelli D Tidwell is a Knoxville, Tennessee based nurse practitioner with 25 years of experience in . She completed her graduation in 2000. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelli D Tidwell is APN0000007947 in Tennessee. Her current practice location is 1450 Dowell Springs Blvd, Suite 300, Knoxville. Patients can reach her at 865-637-8812 or can fax her at 865-637-8865. Kelli D Tidwell is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1104074822. Kelli D Tidwell has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelli D Tidwell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kelli D Tidwell
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
FNP
Experience:
25+ years
Medical School Attended:
Other
Graduation Year:
2000
Accepts Medicare Assignment:
Yes
Practice Address:
1450 Dowell Springs Blvd, Suite 300, Knoxville, Tennessee, 37909
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7911191192
Enrollment ID:
I20101102000010
NPI Number:
1104074822
NPI Enumeration Date:
06 Sep, 2008
NPI Last Update On:
17 May, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelli D Tidwell are as mentioned below.
License Number
Specialization
State
Status
APN0000007947
Tennessee
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kelli D Tidwell is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Endocrinology Consultants Of East Tn (1951371525)
26
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelli D Tidwell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
Q005786
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kelli D Tidwell 1450 Dowell Springs Blvd, Suite 300 Knoxville, Tennessee
Zip:
37909
Phone Number:
865-637-8812
Fax Number:
865-637-8865
Patients can reach Kelli D Tidwell at 1450 Dowell Springs Blvd, Suite 300, Knoxville, Tennessee or can call to book an appointment on 865-637-8812.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.