Nedra Tidwell
Nedra Tidwell is a provider specialising in Child Intellectual and/or Developmental Disabilities Respite Care in Azle, TX, registered under NPI 1790959252. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 7525 PORTWOOD RD, Azle, TX 76020. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 28761 | TX | Child Intellectual and/or Developmental… primary |
| 28761 | TX | Licensed Vocational Nurse |
This provider holds licence 28761 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Respite Care, Intellectual and/or Developmental Disabilities, Child covers
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. NUCC Health Care Provider Taxonomy, code 385HR2060X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care Respite Care, Intellectual and/or Developmental Disabilities, Child | 28761 | TX | primary |
| 164X00000X | Licensed Vocational Nurse | 28761 | TX |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1790959252 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 16, 2008 |
| Last updated | Apr 16, 2008 |
| Status | Active |
| Sole proprietor | Yes |
| Practice address |
7525 PORTWOOD RD Azle, TX 76020 (817) 444-5665 Fax (817) 444-9115 |
| Mailing address |
7529 PORTWOOD RD Azle, TX 76020 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 9 | 0 | 9 | 5 | 9 | 2 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 9 | 0 | 9 | 5 | 9 | 2 | 1 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.