Just Lavender Functional Medicine

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JUST LAVENDER FUNCTIONAL MEDICINE

Practice address

4145 N Courtenay Pkwy
Merritt Island, FL 32953-8114

Phone

(321) 209-0911

NPI assigned

Aug 25, 2025

Organization subpart

No

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

Authorized official

Name

Cori Daniels, NPNPI 1033464441

Title

Owner

Phone

(321) 209-0911

Specialties & licenses 1

Addresses

Other names 1

• CoriNP LLC Former legal business name

Locations

Practitioners 1

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

• Cori Megan Daniels, NP

  • Nurse Practitioner
  • Merritt Island, FL
  • NPI 1033464441
  NPD Authorized official

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1063390474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 WILLOWBROOK RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524142",
            "telephone_number": "321-209-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538114",
            "telephone_number": "321-209-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST LAVENDER FUNCTIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-24",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "CORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-209-0911",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CoriNP LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Walter G Johnson, MD
• Xavier Antonio Johnson, PHARMD
• Jonathan E Gordon OD PA
• Corinne Sandra Jordan
• Jorge J Leal MD Urologist LLC
• Kaelin Consulting and Counseling PLLC
• Nikolaos Kanellopoulos, MD
• Kristy Casey Kazemfar, DO
• Shannon L Kazman, NP
• Michelle Noe-Lanikai Kellinger, PHARMD

• Clinic/Center in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.