Sunbelt Wellness Institute, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

SUNBELT WELLNESS INSTITUTE, LLC

Practice address

8833 Perimeter Park Blvd Ste 1004
Jacksonville, FL 32216-1114

Phone

(904) 328-6749

Fax

(904) 503-1960

NPI assigned

Apr 23, 2019

Last updated

Apr 23, 2019By 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

Dr. Nicholas M Kalynych, CRNA, APRN

Title

Ceo Managing Partner

Phone

(904) 328-6749

Specialties & licenses 4

Addresses

Locations

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.

• Martine Nicole Parker, RN

  • Registered Nurse
  • Jacksonville, FL
  • NPI 1508355199
  NPD (past)

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1033773346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD STE 1004",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161114",
            "telephone_number": "904-328-6749",
            "fax_number": "904-503-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD STE 1004",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161114",
            "telephone_number": "904-328-6749",
            "fax_number": "904-503-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBELT WELLNESS INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "KALYNYCH",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO MANAGING PARTNER",
        "authorized_official_telephone_number": "904-328-6749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CRNA, APRN"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.