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RISING TIDE CHARTER SCHOOL
NPI 1053532788
Local Education Agency (LEA) in Plymouth, MA

Active since May 01, 2007CLIA 22D2277861 · Waiver
6 RESNIK RD, PLYMOUTH, MA 02360(508) 747-2620 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rising Tide Charter School NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RISING TIDE CHARTER SCHOOL (NPI 1053532788) is a healthcare organization registered as a local education agency (lea) in Plymouth, Massachusetts and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 6, 2027 and lists Jill Craft, Administrative, as its authorized official.

NPPES Registry Identity

NPI1053532788
Entity TypeOrganization
Primary Taxonomy251300000X
Legal Business NameRISING TIDE CHARTER SCHOOL
Location Address6 RESNIK RDPlymouth, MA 02360-4873
Mailing Address6 Resnik RdPlymouth, MA 02360-4873 · (508) 747-2620
Phone(508) 747-2620
Organization SubpartNo
Authorized OfficialJill CraftAdministrative · (508) 747-2620
Enumeration DateMay 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053532788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLocal Education Agency (LEA)Agencies
Taxonomy Code251300000X
Definition
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.
6 RESNIK RD, Plymouth, MA 02360
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Other Identifiers 1

Medicaid1955764MA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2277861

Rising Tide Charter Public School · Plymouth, MA
Active · expires Mar 6, 2027
CLIA Number22D2277861
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorLisa Hughes
Laboratory Phone(508) 747-2620
Laboratory LocationRising Tide Charter Public School59 Armstrong Rd, Plymouth, MA 02360
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KACIE KIYOKO NAKAMURA GAUDET R.N, C.P.N.P
Nurse Practitioner (Pediatrics)
6 RESNIK RD
PLYMOUTH, MA 02360
Plymouth County (508) 747-2620
KIMBERLY SPRAGUE MS, CCC-SLP
Speech-Language Pathologist
6 RESNIK RD
PLYMOUTH, MA 02360
Plymouth County (508) 563-5767
CHILDREN MAKING STRIDES
Occupational Therapist
6 RESNIK RD
PLYMOUTH, MA 02360
Plymouth County (508) 563-5767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rising Tide Charter School's NPI number?

The NPI number for Rising Tide Charter School is 1053532788. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Rising Tide Charter School located?

Rising Tide Charter School is located at 6 Resnik Rd, Plymouth, MA 02360. The listed phone number is (508) 747-2620.

What is Rising Tide Charter School's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

Does Rising Tide Charter School hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2277861) is associated with this NPI, valid through March 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rising Tide Charter School was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.