IndividualActive
Lillie Tidwell
NPI 1639715121 · Homemaker · Winter Haven, FL
Lillie Tidwell is a Homemaker provider in Winter Haven, FL (NPI 1639715121).
Provider details
- NPI number
- 1639715121
- Entity type
- Individual
- Primary specialty
- HomemakerNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 104129000 (FL)
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
2332 Isle Royale Ct Se
Winter Haven, FL 33880-4325
Phone: (863) 595-6212
Street-level locationGet directions
Mailing address
2332 Isle Royale Ct Se
Winter Haven, FL 33880-4325
Registry dates
- Enumerated
- 2019-11-20
- Last updated
- 2022-11-03
- Certified
- 2022-11-03
Frequently asked questions
- What is Lillie Tidwell's NPI number?
- Lillie Tidwell's National Provider Identifier (NPI) is 1639715121, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lillie Tidwell's specialty?
- Lillie Tidwell is listed in the NPPES registry with a primary specialty of Homemaker (Nursing Service Related Providers).
- Where is Lillie Tidwell located?
- Lillie Tidwell's practice location on file with NPPES is 2332 Isle Royale Ct Se, Winter Haven, FL 33880-4325.
- What is Lillie Tidwell's phone number?
- The practice phone number listed in the NPPES registry for Lillie Tidwell is (863) 595-6212.
- Is Lillie Tidwell's NPI active?
- Yes — Lillie Tidwell's NPI (1639715121) is active in the NPPES registry as of the last update on 2022-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.