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THE CHANGING TIDE BODY, MIND & SPIRIT P.C.
NPI 1144874447
Nurse Practitioner - Psychiatric/Mental Health in Mathews, VA

Active since July 25, 2019
10978 BUCKLEY HALL ROAD, MATHEWS, VA 23109(804) 725-3041(804) 725-3510 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2023, Jun 3, 2020, Jul 25, 2019 (3 updates tracked since 2019).

About The Changing Tide Body, Mind & Spirit P.c. NPPES

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

THE CHANGING TIDE BODY, MIND & SPIRIT P.C. (NPI 1144874447) is a healthcare organization registered as a psychiatric/mental health in Mathews, Virginia and active in the NPI registry since July 2019. The organization lists Debra Giuliana Moore-zierow, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144874447
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTHE CHANGING TIDE BODY, MIND & SPIRIT P.C.
Location Address10978 BUCKLEY HALL ROADMathews, VA 23109-2310
Mailing AddressPo Box 327Mathews, VA 23109-0327 · (804) 725-3041 · Fax (804) 725-3041
Phone(804) 725-3041
Fax(804) 725-3510
Organization SubpartNo
Authorized OfficialDebra Giuliana Moore-zierowCeo · (804) 725-3041
Enumeration DateJuly 25, 2019
Last NPPES UpdateJune 12, 20233 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1144874447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
10978 BUCKLEY HALL ROAD, Mathews, VA 23109
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Changing Tide Body, Mind & Spirit P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to The Changing Tide Body, Mind & Spirit P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Karen Enneking, PMHNP-BC
Nurse Practitioner
NPI 1558841940
10978 BUCKLEY HALL ROAD
Mathews, VA 23109
(047) 253-0418
✔ PECOS✔ Accepts MedicareSame address
Courtney Henry, PMHNP
Nurse Practitioner
NPI 1306780721
10978 BUCKLEY HALL RD
Mathews, VA 23109
(804) 725-3041
✔ PECOS✔ Accepts MedicareSame address
Debra Moore-Zierow, FNP-BC, PMHNP-BC
Nurse Practitioner
NPI 1821592676
75 MAIN ST SUITE A
Mathews, VA 23109
(804) 725-3041
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by ME Hurst June 19, 2024

5/5
This is a wonderful organization that has truly saved my life, I am very grateful for the experience of the staff and professionalism that helped me through my darkest time and need.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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 The Changing Tide Body, Mind & Spirit P.C.'s NPI number?

The NPI number for The Changing Tide Body, Mind & Spirit P.C. is 1144874447. It was assigned to this organization in the NPPES registry on July 25, 2019.

Where is The Changing Tide Body, Mind & Spirit P.C. located?

The Changing Tide Body, Mind & Spirit P.C. is located at 10978 Buckley Hall Road, Mathews, VA 23109. The listed phone number is (804) 725-3041.

What is The Changing Tide Body, Mind & Spirit P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is The Changing Tide Body, Mind & Spirit P.C. enrolled in Medicare?

Yes. The Changing Tide Body, Mind & Spirit P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Changing Tide Body, Mind & Spirit P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to The Changing Tide Body, Mind & Spirit P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Changing Tide Body, Mind & Spirit P.C. was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.