Femmewell Holdings LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

FEMMEWELL HOLDINGS LLC

Practice address

340 Town Plaza Ave Ste 240
Ponte Vedra, FL 32081-5169

Phone

(904) 395-5850

Fax

(904) 395-5852

NPI assigned

Jul 1, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andria Pennant, MDNPI 1669585873

Title

Medical Doctor

Phone

(862) 216-0089

Specialties & licenses 2

Addresses

Other names 1

• Femmewell Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andria U Pennant, MD

  • Gynecology Physician
  • Ponte Vedra, FL
  • NPI 1669585873

  Single Specialty

  Medicare reassignment NPD Authorized official
• Megan E Deacon-Casey, MD

  • Vascular & Interventional Radiology Physician
  • Ponte Vedra Beach, FL
  • NPI 1235112517
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1003549692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 TOWN PLAZA AVE STE 240",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815169",
            "telephone_number": "904-395-5850",
            "fax_number": "904-395-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 TOWN PLAZA AVE STE 240",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815169",
            "telephone_number": "904-395-5850",
            "fax_number": "904-395-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEMMEWELL HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "PENNANT",
        "authorized_official_first_name": "ANDRIA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "862-216-0089",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Femmewell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caterina Therese Eppolito
• Etta Ettlinger, LCSW, PA
• Etta F. Ettlinger, LCSW
• David Falden, OD
• Mark David Fay, P.T.
• Naara Ferguson, RN
• Michael Filipkowski
• First Coast Home Care, LLC
• Five Star Physical Therapy
• Papatya C Fix, RPH

• Gynecology Physician in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.