TIDALHEALTH PHYSICIAN NETWORK, INC.
NPI 1114712692
Nurse Practitioner in Seaford, DE

Q: What is Tidalhealth Physician Network, Inc.'s NPI number?

The NPI number for Tidalhealth Physician Network, Inc. is 1114712692. It was assigned to this organization in the NPPES registry on April 14, 2025. The provider is also known as TidalHealth Immediate Care.

Q: What is Tidalhealth Physician Network, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since April 14, 2025

8472 HERRING RUN RD UNIT A, SEAFORD, DE 19973(302) 297-2511 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tidalhealth Physician Network, Inc. NPPES

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

TIDALHEALTH PHYSICIAN NETWORK, INC. (NPI 1114712692) is a healthcare organization registered as a nurse practitioner in Seaford, Delaware and active in the NPI registry since April 2025. The organization lists William Pelot, Chief Administrator Officer, as its authorized official.

NPPES Registry Identity

NPI1114712692

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameTIDALHEALTH PHYSICIAN NETWORK, INC.

Location Address8472 HERRING RUN RD UNIT ASeaford, DE 19973-5763

Mailing AddressPo Box 824327Philadelphia, PA 19182-4327 · (410) 912-6053

Phone(302) 297-2511

Organization SubpartNo

Authorized OfficialWilliam PelotChief Administrator Officer · (410) 543-7497

Enumeration DateApril 14, 2025

Last NPPES UpdateJuly 22, 2025

NPPES CertifiedJuly 22, 2025

✔ NPI 1114712692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

8472 HERRING RUN RD UNIT A, Seaford, DE 19973

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Other Names 1

Other NameTidalhealth Immediate Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Tidalhealth Physician Network, Inc.'s NPI number?

The NPI number for Tidalhealth Physician Network, Inc. is 1114712692. It was assigned to this organization in the NPPES registry on April 14, 2025. The provider is also known as TidalHealth Immediate Care.

Where is Tidalhealth Physician Network, Inc. located?

Tidalhealth Physician Network, Inc. is located at 8472 Herring Run Rd Unit A, Seaford, DE 19973. The listed phone number is (302) 297-2511.

What is Tidalhealth Physician Network, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Physician Network, Inc. was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.