Tides LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

1007677 Issued in AK

Legal business name

TIDES LLC

Practice address

3110 Nowell Ave
Juneau, AK 99801-1932

Phone

(907) 723-0339

NPI assigned

Oct 17, 2014

Organization subpart

No

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

Authorized official

Name

Nicole E Franzoni

Title

Administrator

Phone

(907) 723-0339

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1558765602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 NOWELL AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011932",
            "telephone_number": "907-723-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 NOWELL AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011932",
            "telephone_number": "907-723-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "FRANZONI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-723-0339"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AK",
            "license": "1007677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Weaver Thomson, LCSW
• Samuel Thorp
• Ariel Thorsteinson, RN
• Fredrik Thorsteinson
• Nicole Marie Tice
• Jack Peter Tiemessen, BHA
• Maria Tijerina-Burleson, D.C.
• Kristin Till
• Angela Tilleson
• Brent Jonathan Tingey, DMD

• Developmentally Disabled Services Day Training Agency in Juneau, AK
• Providers in Juneau, AK by specialty
• Developmentally Disabled Services Day Training Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.