B-Well Health and Wellness

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

B-WELL HEALTH AND WELLNESS

Practice address

2216 Hammock Square Dr Unit 206
Lynn Haven, FL 32444-7618

Phone

(850) 814-5547

Fax

(850) 248-2468

NPI assigned

Sep 17, 2024

Last updated

Sep 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Glenn Boutwell, APRNNPI 1184281982

Title

Owner

Phone

(850) 814-5547

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Jason Glenn Boutwell, APRN

  • Family Nurse Practitioner
  • Panama City, FL
  • NPI 1184281982

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1023845666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324440062",
            "telephone_number": "850-248-2468",
            "fax_number": "850-248-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 HAMMOCK SQUARE DR UNIT 206",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324447618",
            "telephone_number": "850-814-5547",
            "fax_number": "850-248-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B-WELL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "BOUTWELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-814-5547",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnp Solutions
• April Siegel Asby
• Ascension Health at Home of Florida III, LLC (Ascension at Home)
• Elizabeth Ashley, M.S. CCC-SLP
• Audiology Consultants PA of Panama City
• Amy Bair, MD
• Kaitlyn Faith Ballard
• Kolene Barnes
• Rhonda Jane Barr
• Dianne Basford Ray, RPH

• General Practice Physician in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.