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

Kelli D Tidwell, FNP

Individual provider Nurse Practitioner · NPI 1104074822

Kelli D Tidwell, FNP is a Nurse Practitioner in Knoxville, Tennessee. Qualified in 2000, 26 years ago. Practices with Endocrinology Consultants of East Tn, a 36-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
26
Licensed in
TN
In the registry since
2008
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1450 Dowell Springs Blvd Ste 300
Knoxville, TN 37909
Phone: (865) 637-8812
Fax: (865) 637-8865
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APN0000007947 (TN)

Record details

NPI number1104074822
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 6, 2008
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Endocrinology Consultants Of East Tn — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Knoxville