Organization Active NPI

Wellxperience, LLC

  • Health & Wellness Coach
  • Indian Harbour Beach, FL
National Provider Identifier
1023816675
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
WELLXPERIENCE, LLC
Practice address
209 Freddie St
Indian Harbour Beach, FL 32937-2723
Phone
(321) 414-9197
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Mr. Christy VergaraNPI 1306407218
Title
Owner/Manager
Phone
(321) 414-9197

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X

Addresses

Primary practice location

209 Freddie St
Indian Harbour Beach, FL 32937-2723

Mailing address

209 Freddie St
Indian Harbour Beach, FL 32937-2723
Phone (321) 414-9197

Other names 1

  • Lactation and Wellness Consultants of Brevard Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1023816675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 FREDDIE ST",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329372723",
            "telephone_number": "321-414-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 FREDDIE ST",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329372723",
            "telephone_number": "321-414-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLXPERIENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "321-414-9197",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lactation and Wellness Consultants of Brevard",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.