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

Tida Paul

Individual provider Family Nurse Practitioner · NPI 1487329520

Tida Paul is a Nurse Practitioner in Bellevue, Washington. Qualified in 2020, 6 years ago. Practices with Overlake Medical Clinics LLC, a 426-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2021
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Practice location Address checks out

1035 116th Ave NE
Bellevue, WA 98004-4604
Phone: (425) 688-5787
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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 61127569 (WA)

Record details

NPI number1487329520
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 11, 2021
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022
Mailing address1035 116th Ave Ne, Bellevue, WA 98004-4604

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Overlake Medical Clinics Llc — 426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bellevue