Active NPI
The Wellness NPS
- Multi-Specialty Clinic/Center
- Pembroke Pines, FL
National Provider Identifier
1083322994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- THE WELLNESS NPS
- Practice address
- 17900 NW 5TH St Ste 104
Pembroke Pines, FL 33029-2809 - Phone
- (305) 766-0392
- NPI assigned
- Nov 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aissel Faquir, DNP-APRN
- Title
- Owner
- Phone
- (305) 766-0392
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
17900 NW 5TH St Ste 104
Pembroke Pines, FL 33029-2809
Mailing address
1142 Banyan Dr
Hollywood, FL 33021-2135
Phone (305) 766-0392
National Provider Directory
National Provider DirectoryLocations
17900 NW 5th St
Ste 104
Pembroke Pines, FL 33029
Phone (305) 394-9064
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Hollywood, FL
- NPI 1144772096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667952000000",
"number": "1083322994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 BANYAN DR",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330212135",
"telephone_number": "305-766-0392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17900 NW 5TH ST STE 104",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292809",
"telephone_number": "305-766-0392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WELLNESS NPS",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A",
"authorized_official_last_name": "FAQUIR",
"authorized_official_first_name": "AISSEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-766-0392",
"authorized_official_credential": "DNP-APRN"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.