Organization Active NPI

Tidewater Acupuncture LLC

  • Medical Specialty Clinic/Center
  • Manchester by the Sea, MA
National Provider Identifier
1356061642
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
TIDEWATER ACUPUNCTURE LLC
Practice address
13 Elm St Ste 1B
Manchester by the Sea, MA 01944-1366
Phone
(202) 744-5480
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Ms. Katherine Rose Zeigler, MACNPI 1902328750
Title
Licensed Acupuncturist
Phone
(202) 744-5480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

13 Elm St Ste 1B
Manchester by the Sea, MA 01944-1366

Mailing address

58 Martin St
Essex, MA 01929-1256
Phone (202) 744-5480

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kate@tidewaterhealing.com

National Provider Directory

National Provider Directory

Locations

13 Elm St
Ste 1B
Manchester by the Sea, MA 01944
Phone (202) 744-5480

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1356061642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MARTIN ST",
            "city": "ESSEX",
            "state": "MA",
            "postal_code": "019291256",
            "telephone_number": "202-744-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ELM ST STE 1B",
            "city": "MANCHESTER BY THE SEA",
            "state": "MA",
            "postal_code": "019441366",
            "telephone_number": "202-744-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "ZEIGLER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "202-744-5480",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MAC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kate@tidewaterhealing.com",
            "affiliation": "N",
            "address_1": "13 Elm St Ste 1B",
            "city": "Manchester By The Sea",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019441366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester by the Sea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.