IndividualActive
Stacy Tidwell, APRN
NPI 1265746820 · Women's Health Nurse Practitioner · Rogers, AR
Provider details
- NPI number
- 1265746820
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- A003421 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% 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
4618 Willow Ridge Way
Rogers, AR 72758-8089
Phone: (479) 587-1700
Street-level locationGet directions
Mailing address
4618 Willow Ridge Way
Rogers, AR 72758-8089
Registry dates
- Enumerated
- 2010-08-05
- Last updated
- 2023-04-04
- Certified
- 2022-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.