VIP HEALTH AND WELLNESS LLC (NPI# 1003352881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003352881 |
| Entity Type | Organization |
| Organization Name | VIP HEALTH AND WELLNESS LLC |
| Practice Address |
3318 Sw Blue Ct Port St Lucie FL 34953-3559 |
| Practice Telephone | 7723703211 |
| Mailing Telephone | 7723703211 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |
| Authorized Official Name | GITANA NG (NURSE PRACTITIONER) |
| Authorized Official Telephone | 7723703211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
9213298 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
9231419 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2776282 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3318 SW BLUE CT |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34953-3559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497252720 | Medina Yasin Solutions LLC | Nurse Practitioner | 19034 Sw Positano Way, Port St Lucie, FL 34986-2882 | 2018-04-12 |
| 1083096853 | Jayna Patel | Nurse Practitioner | 630 Sw Palmetto Cv, Port St Lucie, FL 34986-2019 | 2015-06-29 |
| 1467702308 | Myriam Pinchinat-vassor | Nurse Practitioner | 200 Nw Goldcoast Ave, Port St Lucie, FL 34983-1124 | 2012-09-18 |
| 1982863163 | Gusti Labatte-deneau | Nurse Practitioner | 1632 Sw Ivy St, Port St Lucie, FL 34987-2248 | 2008-06-03 |
| 1952314700 | Melissa Jones | Nurse Practitioner | 1801 Se Hillmoor Dr Ste C-109, Port St Lucie, FL 34952-7551 | 2006-08-14 |
| 1972022713 | Amy Jo Paul | Nurse Practitioner | 1701 Se Hillmoor Dr Ste 4, Port St Lucie, FL 34952-7552 | 2017-09-13 |
| 1710365051 | Exceptional Care Choice, LLC | Nurse Practitioner | 1632 Sw Ivy St, Port St Lucie, FL 34987-2248 | 2015-05-06 |
| 1689066532 | Heather A. Craig | Nurse Practitioner | 451 Sw Bethany Dr, Suite 103, Port St Lucie, FL 34986-1964 | 2015-03-02 |
| 1417918418 | Amy A Ezbianski | Nurse Practitioner | 1801 Se Hillmoor Dr, A110, Port St Lucie, FL 34952-7553 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193292 | Paulette Vital-herne | Nurse Practitioner | 4449 Old Highway 41 S, Sun City, FL 33586-9700 | 2020-10-26 |
| 1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1851998082 | Sanon Edmond | Nurse Practitioner | 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 | 2020-10-01 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1780291526 | Ilmary De Los Angeles Jimenez | Nurse Practitioner | 7909 Biltmore Blvd, Miramar, FL 33023-5829 | 2020-09-25 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34953 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.