Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidalhealth Peninsula Regional, Inc

Organization Registered Dietitian · NPI 1649137613

Tidalhealth Peninsula Regional, Inc is a Registered Dietitian in Crisfield, Maryland. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 Hall Hwy
Crisfield, MD 21817-1237
Phone: (410) 968-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1649137613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sloan Trammell — Credentialing Manager · (410) 912-6989
NPI enumeratedJanuary 9, 2026
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing addressPo Box 826880, Philadelphia, PA 19182-6880

Other providers in Crisfield