Organization Active NPI

Shifting Tides LLC

  • Chiropractor
  • Portsmouth, NH
National Provider Identifier
1790478733
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SHIFTING TIDES LLC
Practice address
7 Greenleaf Woods Dr Unit 301
Portsmouth, NH 03801-5444
Phone
(413) 517-8265
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Dr. Alexandra Fitzgerald
Title
Owner/Chiropractor
Phone
(413) 519-8698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7 Greenleaf Woods Dr Unit 301
Portsmouth, NH 03801-5444

Mailing address

7 Greenleaf Woods Dr Unit 301
Portsmouth, NH 03801-5444
Phone (413) 517-8265

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241025001364 NH Part B Supplier - Clinic/Group Practice 4981137247 Receives reassigned benefits from 1 practitioner
Practice locations: Portsmouth, NH

National Provider Directory

National Provider Directory

Locations

7 Greenleaf Woods Dr
Unit 301
Portsmouth, NH 03801
Phone (413) 517-8265

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": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1790478733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GREENLEAF WOODS DR UNIT 301",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015444",
            "telephone_number": "413-517-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GREENLEAF WOODS DR UNIT 301",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015444",
            "telephone_number": "413-517-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFTING TIDES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "413-519-8698",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.