Organization Active NPI

Hightide Healthcare PLLC

  • Family Medicine Physician
  • Kitty Hawk, NC
National Provider Identifier
1376403147
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HIGHTIDE HEALTHCARE PLLC
Practice address
5200 N Croatan Hwy Ste 9
Kitty Hawk, NC 27949-3990
Phone
(757) 515-8071
NPI assigned
Nov 14, 2025
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Leah H WoolridgeNPI 1275201741
Title
Owner/FNP
Phone
(252) 581-8404

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5200 N Croatan Hwy Ste 9
Kitty Hawk, NC 27949-3990

Mailing address

PO Box 1048
Kitty Hawk, NC 27949-1048
Phone (252) 581-8404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260115000989 NC Part B Supplier - Clinic/Group Practice 3375029705 Receives reassigned benefits from 4 practitioners
Practice locations: Kitty Hawk, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2342298Hightide Healthcare PLLC5200 N Croatan Hwy Suite 9, Kitty Hawk, NC 27949Certificate of waiverApr 16, 2028

National Provider Directory

National Provider Directory

Locations

5200 N Croatan Hwy
Ste 9
Kitty Hawk, NC 27949
Phone (252) 581-8404

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1376403147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1048",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279491048",
            "telephone_number": "252-581-8404",
            "fax_number": "833-764-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 N CROATAN HWY STE 9",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493990",
            "telephone_number": "757-515-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHTIDE HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "WOOLRIDGE",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/FNP",
        "authorized_official_telephone_number": "252-581-8404"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kitty Hawk, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.