Organization Active NPI

Bee Well Pediatrics

  • Pediatrics Physician
  • Port St Lucie, FL
National Provider Identifier
1023489630
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME93497 Issued in FL
Legal business name
BEE WELL PEDIATRICS
Practice address
10521 SW Village Center Dr
101-A
Port St Lucie, FL 34987-1930
Phone
(772) 873-7114
Fax
(772) 873-7115
NPI assigned
Oct 8, 2015
Last updated
Dec 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Dr. Veronica D Espinoza, MDNPI 1881869584
Title
Owner
Phone
(772) 236-9860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME93497 FL Primary

Addresses

Primary practice location

10521 SW Village Center Dr
101-A
Port St Lucie, FL 34987-1930

Mailing address

PO Box 880313
Port St Lucie, FL 34988-0313
Phone (772) 873-7114

Other identifiers 1

IdentifierTypeStateIssuer
281166900MedicaidFL

National Provider Directory

National Provider Directory

Locations

10521 SW Village Center Dr
#101A
Port St Lucie, FL 34987
Phone (772) 873-7114

1721 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 873-0037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12404/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1023489630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880313",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349880313",
            "telephone_number": "772-873-7114",
            "fax_number": "772-873-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 SW VILLAGE CENTER DR",
            "address_2": "101-A",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349871930",
            "telephone_number": "772-873-7114",
            "fax_number": "772-873-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEE WELL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-236-9860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME93497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281166900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.