Tidewell Hospice, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9169218 Issued in FL

Legal business name

TIDEWELL HOSPICE, INC.

Practice address

5955 Rand Blvd
Sarasota, FL 34238-5160

Phone

(941) 552-7508

Fax

(941) 552-7605

NPI assigned

Jan 9, 2015

Organization subpart

No

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

Authorized official

Name

Alena M Vasher

Title

Executive Assistant

Phone

(941) 552-7508

Specialties & licenses 1

Addresses

Other names 1

• Tidewell Hospice Doing business as

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1801285135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 RAND BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385160",
            "telephone_number": "941-552-7508",
            "fax_number": "941-552-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 RAND BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385160",
            "telephone_number": "941-552-7508",
            "fax_number": "941-552-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWELL HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "VASHER",
        "authorized_official_first_name": "ALENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "941-552-7508"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9169218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tidewell Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tidewell Home Health, LLC
• Tidewell Home Health, LLC
• Tidewell Hospice & Palliative Care
• Tidewell Hospice and Palliative Care
• Tidewell Hospice, Inc.
• Tidewell Hospice, Inc.
• Gail M Tidmore, CRNA
• Kristine Eileen Tidswell, CRNA
• Tidwell Health Services Inc
• Douglas Tidwell, MSN, ARNP, FNP-C

• Family Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.