NPIMap

Organization Active NPI

Flourish Mental Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Fernandina Beach, FL
National Provider Identifier
1053274670
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FLOURISH MENTAL HEALTH AND WELLNESS
Practice address
1890 S 14TH St Building 100 Ste 110
Fernandina Beach, FL 32034
Phone
(904) 849-0889
Fax
(904) 849-0898
NPI assigned
Dec 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Malia Amber Weber-Parker, PMHNP-BC, FNP-CNPI 1548725559
Title
President, Owner
Phone
(413) 205-7405

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1890 S 14TH St Building 100 Ste 110
Fernandina Beach, FL 32034

Mailing address

76020 William Burgess Blvd Unit 5
Yulee, FL 32097-5490
Phone (904) 849-0889

Other practice location 1

114 Fomer Rd
Southampton, MA 01073-9239
Phone (904) 849-0889

Other practice location 2

521 Christopher Way
Dayville, CT 06241-1329
Phone (904) 849-0889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260318002339 MA Part B Supplier - Clinic/Group Practice 5890279954 Receives reassigned benefits from 3 practitioners
Practice locations: West Springfield, MA
O20260320002056 FL Part B Supplier - Clinic/Group Practice 5890279954 Receives reassigned benefits from 2 practitioners
Practice locations: Fernandina Beach, FL

National Provider Directory

National Provider Directory

Locations

1890 S 14th St
Ste 110
Fernandina Beach, FL 32034
Phone (904) 556-7242

76020 William Burgess Blvd
Unit 5
Yulee, FL 32097

1362 Westfield St
West Springfield, MA 01089
Phone (904) 849-0889

Practitioners & affiliated clinicians

Practitioners 3

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": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1053274670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76020 WILLIAM BURGESS BLVD UNIT 5",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975490",
            "telephone_number": "904-849-0889",
            "fax_number": "904-849-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 S 14TH ST BUILDING 100 STE 110",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "904-849-0889",
            "fax_number": "904-849-0898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Fomer Rd",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "MA",
            "postal_code": "010739239",
            "country_code": "US",
            "telephone_number": "904-849-0889",
            "fax_number": "904-849-0898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 Christopher Way",
            "address_purpose": "LOCATION",
            "city": "Dayville",
            "state": "CT",
            "postal_code": "062411329",
            "country_code": "US",
            "telephone_number": "904-849-0889",
            "fax_number": "904-849-0898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLOURISH MENTAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "WEBER-PARKER",
        "authorized_official_first_name": "MALIA",
        "authorized_official_middle_name": "AMBER",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "413-205-7405",
        "authorized_official_credential": "PMHNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.