NPIMap

Organization Active NPI

Somerville Health and Wellness, LLC

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1053656702
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOMERVILLE HEALTH AND WELLNESS, LLC
Practice address
2324 S Congress Ave Ste 1J
West Palm Beach, FL 33406-7667
Phone
(561) 965-8665
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Laurie Somerville, D.C.NPI 1003913898
Title
Owner
Phone
(561) 965-8665

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2324 S Congress Ave Ste 1J
West Palm Beach, FL 33406-7667

Mailing address

2324 S Congress Ave Ste 1J
West Palm Beach, FL 33406-7667
Phone (561) 965-8665

Other identifiers 1

IdentifierTypeStateIssuer
3815650-00MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1053656702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 S CONGRESS AVE STE 1J",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067667",
            "telephone_number": "561-965-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 S CONGRESS AVE STE 1J",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067667",
            "telephone_number": "561-965-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERVILLE HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "SOMERVILLE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-965-8665",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3815650-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.