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

MS. Amber Nickolina Tidwell, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1073862751

MS. Amber Nickolina Tidwell, NP is a Nurse Practitioner in New York, New York. Qualified in 2011, 15 years ago. Practices with Pathways Center for Behavioral and Developmental Growth, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
15
Licensed in
MD
In the registry since
2012
What do these letters mean?
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

205 Hudson St Fl 9
New York, NY 10013-1810
Phone: (646) 941-7645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AC004642 (MD)

Record details

NPI number1073862751
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 10, 2012
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Pathways Center For Behavioral And Developmental Growth — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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