Active NPI
Tidal Point Wellness Corp
- Nurse Practitioner
- East Greenwich, RI
National Provider Identifier
1316867153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- TIDAL POINT WELLNESS CORP
- Practice address
- 15 Forest LN
East Greenwich, RI 02818-1015 - Phone
- (401) 215-6796
- NPI assigned
- Jul 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Burdi, PMHNP
- Title
- Owner
- Phone
- (401) 215-6796
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
15 Forest LN
East Greenwich, RI 02818-1015
Mailing address
15 Forest LN
East Greenwich, RI 02818-1015
Phone (401) 215-6796
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784592000000",
"number": "1316867153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 FOREST LN",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181015",
"telephone_number": "401-215-6796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 FOREST LN",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181015",
"telephone_number": "401-215-6796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIDAL POINT WELLNESS CORP",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-21",
"last_updated": "2026-07-21",
"certification_date": "2026-07-20",
"status": "A",
"authorized_official_last_name": "BURDI",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-215-6796",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.