Tide Point Health, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TIDE POINT HEALTH, LLC

Practice address

11609 Grand Bay Blvd
Clermont, FL 34711-7855

Phone

(407) 552-7136

Fax

(407) 550-6387

NPI assigned

Nov 3, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Tracy King, DNP, APRNNPI 1104705086

Title

Ceo

Phone

(407) 552-7136

Specialties & licenses 2

Addresses

Practitioners 1

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

• Tracy King, DNP, APRN

  • Family Nurse Practitioner
  • Stuart, FL
  • NPI 1104705086
  NPD Authorized official

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1114896719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11609 GRAND BAY BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117855",
            "telephone_number": "407-552-7136",
            "fax_number": "407-550-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11609 GRAND BAY BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117855",
            "telephone_number": "407-552-7136",
            "fax_number": "407-550-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDE POINT HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-02",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-552-7136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miquia C Thompson, MS, LMHC
• Patricia Ann Thompson, PT
• Paulette Thompson
• Thrive Women'S Care LLC
• Thryve Florida Health and Wellness
• Mark Winston Tidwell, M.D.
• Jennifer Tierman, PHARMD
• Tiffany Knightly
• Alexandra Tighe
• Gabrielle Timothy, CNA-HHA

• Family Nurse Practitioner in Clermont, FL
• Providers in Clermont, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.