Organization Active NPI

Hometown Wellness LLC

  • Family Nurse Practitioner
  • Okeechobee, FL
National Provider Identifier
1093597262
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HOMETOWN WELLNESS LLC
Practice address
221 NE Park St
Okeechobee, FL 34972-2923
Phone
(863) 484-6020
Fax
(863) 484-6017
NPI assigned
Oct 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Mrs. Tammy Theresa Hedrick, APRN
Title
Aprn
Phone
(863) 634-4218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

221 NE Park St
Okeechobee, FL 34972-2923

Mailing address

2201 SW 28TH St # Villa84
Okeechobee, FL 34974-5703
Phone (863) 634-4218

Other practice location 1

1124 S Parrott Ave
Okeechobee, FL 34974-5270
Phone (863) 484-6020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240109001237 FL Part B Supplier - Clinic/Group Practice 6002267648 Practice locations: Okeechobee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2298281Hometown Wellness221 NE Park St, Okeechobee, FL 34972Certificate of waiverJan 30, 2028

National Provider Directory

National Provider Directory

Locations

221 NE Park St
Okeechobee, FL 34972
Phone (863) 441-3894

1124 S Parrott Ave
Okeechobee, FL 34974
Phone (863) 484-6020

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1093597262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SW 28TH ST # VILLA84",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349745703",
            "telephone_number": "863-634-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NE PARK ST",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722923",
            "telephone_number": "863-484-6020",
            "fax_number": "863-484-6017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 S Parrott Ave",
            "address_purpose": "LOCATION",
            "city": "Okeechobee",
            "state": "FL",
            "postal_code": "349745270",
            "country_code": "US",
            "telephone_number": "863-484-6020",
            "fax_number": "863-484-6017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOMETOWN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "863-634-4218",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.