Active NPI
Wellxperience, LLC
- Health & Wellness Coach
- Indian Harbour Beach, FL
National Provider Identifier
1023816675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christy Vergara
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Health & Wellness Coach | 171400000X | Primary | ||
| Health Educator | 174H00000X | |||
| Lactation Consultant (Non-RN) | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Health & Wellness Coach
- Indian Harbour Beach, FL
- NPI 1306407218
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.