Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TIDE AND BLOOM WOMENS HEALTH AND WELLNESS
NPI 1548169980
Nurse Practitioner in Fort Pierce, FL

Q: What is Tide And Bloom Womens Health And Wellness's specialty?

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

Active since November 03, 2026

10623 LIGHTER WOOD LN, FORT PIERCE, FL 34945(772) 413-0769 Get Directions Write a Review

NPPES record added: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Tide And Bloom Womens Health And Wellness NPPES

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

TIDE AND BLOOM WOMENS HEALTH AND WELLNESS (NPI 1548169980) is a healthcare organization registered as a nurse practitioner in Fort Pierce, Florida and active in the NPI registry since November 2026. The organization lists Amanda Labigang, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1548169980

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameTIDE AND BLOOM WOMENS HEALTH AND WELLNESS

Location Address10623 LIGHTER WOOD LNFort Pierce, FL 34945-3010

Mailing Address10623 Lighter Wood LnFort Pierce, FL 34945-3010 · (772) 413-0769

Phone(772) 413-0769

Organization SubpartNo

Authorized OfficialAmanda LabigangManaging Member · (772) 413-0769

Enumeration DateNovember 3, 2026

NPPES CertifiedNovember 3, 2026

✔ NPI 1548169980 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.

10623 LIGHTER WOOD LN, Fort Pierce, FL 34945

Open in Google Maps ↗

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 Tide And Bloom Womens Health And Wellness's NPI number?

The NPI number for Tide And Bloom Womens Health And Wellness is 1548169980. It was assigned to this organization in the NPPES registry on November 3, 2026.

Where is Tide And Bloom Womens Health And Wellness located?

Tide And Bloom Womens Health And Wellness is located at 10623 Lighter Wood Ln, Fort Pierce, FL 34945. The listed phone number is (772) 413-0769.

What is Tide And Bloom Womens Health And Wellness'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 Tide And Bloom Womens Health And Wellness was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.