Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Tyler Tidwell, DNP, NP

Individual provider Acute Care Nurse Practitioner · NPI 1245648922

Justin Tyler Tidwell, DNP, NP is a Nurse Practitioner in Stanford, California. Qualified in 2013, 13 years ago. Practices with Stanford Health Care, a 3,085-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2333 Buchanan St, San Francisco, CA 94115-1925 — (415) 600-6000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95000691 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 95000691 (CA)

Record details

NPI number1245648922
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , NP
Sole proprietorNo
NPI enumeratedJuly 26, 2014
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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