Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dianna Lynn Kidwell, APRN, AGACNP-BC

Individual provider Registered Nurse · NPI 1851017974

Dianna Lynn Kidwell, APRN, AGACNP-BC is a Nurse Practitioner in Tyler, Texas. Qualified in 2022, 4 years ago. Practices with Tyler Nephrology Associates PA, a 26-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2022
Specialties on file
4
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1133 Medical Dr
Tyler, TX 75701-2130
Phone: (903) 595-5486
Fax: (903) 595-5128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 S Beckham Ave, Tyler, TX 75701-1908 — (903) 593-8441
  • 703 S Fleishel Ave Ste 5000, Tyler, TX 75701-2015 — (903) 606-7525

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP1097102 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 705683 (TX)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP1097102 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP1097102 (TX)

Record details

NPI number1851017974
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , AGACNP-BC
Sole proprietorNo
NPI enumeratedOctober 19, 2022
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tyler Nephrology Associates Pa — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Tyler