NPPES file of Aug 9, 2026

Nicole Tiderencel, CTRS

Recreation Therapist · Kennesaw, GA

Nicole Tiderencel, CTRS is a recreation therapist with a practice address in Kennesaw, Georgia, and NPI 1881114841, issued on Jun 21, 2017. Check the license (Georgia 48030, as entered in NPPES) with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1881114841
Name
Nicole Tiderencel
Credential
CTRS
Primary taxonomy
Recreation Therapist 225800000X
License number
48030 GA
Self-reported in NPPES; status is on the state search
Practice location
1291 Stanley RD NW, Kennesaw, GA 30152
Phone
(770) 427-0147
Enumerated
Jun 21, 2017
Record last updated
Jun 21, 2017 (not updated in 9 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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8 nearest recreation therapist records → All 59 in Georgia → Look up another NPI →

Also registered at 1291 Stanley RD NW

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Elena Arnold, RNRegistered Nurse1588184535
  2. Paul Bahati, RNRegistered Nurse1104346154
  3. Sarah Bigelow, LAPCMental Health Counselor1306229745
  4. Rubynell BrownLicensed Practical Nurse1801374665
  5. Kathryn Bryant, L.M.S.W.Social Worker1942635123
  6. Rita CalhounRegistered Nurse1487132148

Verify Nicole Tiderencel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this profession
    Search for license 48030    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Georgia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Nicole Tiderencel among 59 recreation therapist records in Georgia

Nicole Tiderencel, CTRS is one of 59 recreation therapist records with a practice address in Georgia. 0% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2017, is newer than 39% of them.

  • NPI issued2017 · 39% of these records are older, 56% newer
  • In a Medicare fileNo · 0% of these records are
  • In the CMS Doctors and Clinicians fileNo · 0% of these records are
  • Record last updated2017 · 69% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225800000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Recreation Therapist providers in Georgia

There are 59 recreation therapist records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 59 in Georgia → Every provider in Kennesaw → Recreation Therapist nationwide →

The 8 recreation therapist records with the nearest ZIP codes

  1. Ebony Elbert, CTRSKennesaw, GA 301521528588571
  2. David MondecarKennesaw, GA 301521609396662
  3. Patrice PushaKennesaw, GA 301521346729845
  4. Pamela Kramer, CTRSCedartown, GA 301251508061938
  5. Martha Webb, CTRSVilla Rica, GA 301801063167633
  6. Elikha Nau, CTRSCarrollton, GA 301161407625742
  7. Kendrell Ringer, PH.D/CTRSMcDonough, GA 302531518831882
  8. Mercy PaszkiewiczLawrenceville, GA 300431336891803

Common questions

What is Nicole Tiderencel, CTRS's NPI number?

Nicole Tiderencel, CTRS's National Provider Identifier (NPI) is 1881114841, issued on Jun 21, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Nicole Tiderencel, CTRS located?

The NPPES record lists a practice address at 1291 Stanley RD NW, Kennesaw, GA, 30152. Phone: (770) 427-0147. Providers update this record themselves, so call before visiting.

How can I verify Nicole Tiderencel, CTRS's license?

NPPES lists Georgia license number 48030, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.