Rising Tide Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

RISING TIDE CHARTER SCHOOL

Practice address

6 Resnik Rd
Plymouth, MA 02360-4873

Phone

(508) 747-2620

NPI assigned

May 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jill Craft

Title

Administrative

Phone

(508) 747-2620

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kacie Kiyoko Nakamura Gaudet, R.N, C.P.N.P

  • Pediatric Nurse Practitioner
  • Plymouth, MA
  • NPI 1043568827
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053532788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RESNIK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604873",
            "telephone_number": "508-747-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 RESNIK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604873",
            "telephone_number": "508-747-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING TIDE CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "508-747-2620"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955764",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy L. Ricks, ED.D.
• Janice S Ridlon
• Eric P Rightmire, MD
• David Rioux
• Rise Supports LLC
• Britany Lynn Ritchie, RDN, LDN
• Robert A. Ritucci, D.M.D., CAGS
• Luis Rivera, M.ED
• Robin Charlene Rivers
• Rizkalla Dental Associates

• Local Education Agency (LEA) in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Local Education Agency (LEA) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.