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HEALING TIDE MEDICAL
NPI 1700704038
Nurse Practitioner - Family in Wittmann, AZ

Active since July 06, 2026
32808 N CROZIER RD, WITTMANN, AZ 85361(602) 410-1898 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Healing Tide Medical NPPES

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

HEALING TIDE MEDICAL (NPI 1700704038) is a healthcare organization registered as a family in Wittmann, Arizona and active in the NPI registry since July 2026. The organization lists Kayla Berry, Owner, as its authorized official.

NPPES Registry Identity

NPI1700704038
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHEALING TIDE MEDICAL
Location Address32808 N CROZIER RDWittmann, AZ 85361-9997
Mailing Address32808 N Crozier RdWittmann, AZ 85361-9997 · (602) 410-1898
Phone(602) 410-1898
Organization SubpartNo
Authorized OfficialKayla BerryOwner · (623) 742-8819
Enumeration DateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
✔ NPI 1700704038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
32808 N CROZIER RD, Wittmann, AZ 85361
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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 Healing Tide Medical's NPI number?

The NPI number for Healing Tide Medical is 1700704038. It was assigned to this organization in the NPPES registry on July 6, 2026.

Where is Healing Tide Medical located?

Healing Tide Medical is located at 32808 N Crozier Rd, Wittmann, AZ 85361. The listed phone number is (602) 410-1898.

What is Healing Tide Medical's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Healing Tide Medical was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.