Wanderlust Experience

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

WANDERLUST EXPERIENCE

Practice address

673 S Kings Ave
Brandon, FL 33511-6048

Phone

(813) 842-8662

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

India Presley-Boyd, APRNNPI 1376003574

Title

Owner

Phone

(813) 842-8662

Specialties & licenses 1

Addresses

Other names 1

• Home 2 Care Doing business as

Locations

Practitioners 2

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

• India Chantel Presley-Boyd, APRN

  • Gerontology Nurse Practitioner
  • Celebration, FL
  • NPI 1376003574
  NPD Authorized official
• Patricia Ann Dixon

  • Primary Care Nurse Practitioner
  • Brandon, FL
  • NPI 1043903016

  Single Specialty

  NPD

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1033860358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 ANCHOR BEND DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335707998",
            "telephone_number": "813-842-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116048",
            "telephone_number": "813-842-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDERLUST EXPERIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "PRESLEY-BOYD",
        "authorized_official_first_name": "INDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-842-8662",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home 2 Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darlene Walsh
• Kelly Walsh, LPTA
• Darrell Ray Walter, O.D.
• Chad Waltz, DDS
• Wanda I. Nieves-Moreno, DC, LLC
• Kailyn Nicole Wapinsky, PA-C
• Randy Carl Warndahl
• Natalya Warner, LCSW
• Fallon Warren
• Jennifer M Warren

• Primary Care Nurse Practitioner in Brandon, FL
• Providers in Brandon, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.