What is Larrisha Tidwell's NPI number?

Larrisha Tidwell's National Provider Identifier (NPI) is 1235473422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Larrisha Tidwell's specialty?

Larrisha Tidwell is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).

Where is Larrisha Tidwell located?

Larrisha Tidwell's practice location on file with NPPES is 1430 Olive St, Saint Louis, MO 63103-2303.

What is Larrisha Tidwell's phone number?

The practice phone number listed in the NPPES registry for Larrisha Tidwell is (314) 206-3700.

Is Larrisha Tidwell's NPI active?

Yes — Larrisha Tidwell's NPI (1235473422) is active in the NPPES registry as of the last update on 2012-11-12.

IndividualActive

Larrisha Tidwell

NPI 1235473422 · Case Manager/Care Coordinator · Saint Louis, MO

Larrisha Tidwell is a Case Manager/Care Coordinator provider in Saint Louis, MO (NPI 1235473422).

Provider details

NPI number: 1235473422
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000X
Other Service Providers

Profile Score

Established profile(72/100 index)

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

Registry tenure38% of score
13 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

1430 Olive St

Suite 500

Saint Louis, MO 63103-2303

Phone: (314) 206-3700

Street-level locationGet directions

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Mailing address