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

Katie Elizabeth Tidwell, FNP

Individual provider Family Nurse Practitioner · NPI 1235908351

Katie Elizabeth Tidwell, FNP is a Nurse Practitioner in Cordova, Tennessee. Qualified in 2023, 3 years ago. Practices with Gateway Primary Care LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

765 Woodland Trace Ln
Cordova, TN 38018-6609
Phone: (888) 551-2538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F12230861 (TN)

Record details

NPI number1235908351
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 29, 2023
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Gateway Primary Care Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Cordova