What is Shea Tidaback's NPI number?

Shea Tidaback's National Provider Identifier (NPI) is 1164161766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shea Tidaback's specialty?

Shea Tidaback is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Shea Tidaback located?

Shea Tidaback's practice location on file with NPPES is 4949 N Gold Ave, Tucson, AZ 85705-1814.

What is Shea Tidaback's phone number?

The practice phone number listed in the NPPES registry for Shea Tidaback is (520) 904-9168.

Is Shea Tidaback's NPI active?

Yes — Shea Tidaback's NPI (1164161766) is active in the NPPES registry as of the last update on 2023-05-30.

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Shea Tidaback

NPI 1164161766 · Athletic Trainer · Tucson, AZ

Shea Tidaback is a Athletic Trainer provider in Tucson, AZ (NPI 1164161766).

Provider details

NPI number: 1164161766
Entity type: Individual
Primary specialty: Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Athletic TrainerPrimary2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4949 N Gold Ave

Tucson, AZ 85705-1814

Phone: (520) 904-9168

Street-level locationGet directions

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Mailing address