NPIMap

Organization Active NPI

Destiny Health and Wellness,LLC

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1104441526
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DESTINY HEALTH AND WELLNESS,LLC
Practice address
14923 NW 7TH Ave
Miami, FL 33168-3107
Phone
(305) 685-7669
NPI assigned
Jun 11, 2020
Last updated
Jun 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Marlene Lebrun, APRNNPI 1043582596
Title
Administrator/Ceo
Phone
(305) 685-7669

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
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

14923 NW 7TH Ave
Miami, FL 33168-3107

Mailing address

14923 NW 7TH Ave
Miami, FL 33168-3107
Phone (305) 685-7669

Other identifiers 1

IdentifierTypeStateIssuer
1043582596MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL destinyhealthnwellness@gmail.com Direct

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1104441526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14923 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331683107",
            "telephone_number": "305-685-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14923 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331683107",
            "telephone_number": "305-685-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY HEALTH AND WELLNESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "LEBRUN",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "305-685-7669",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043582596",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "destinyhealthnwellness@gmail.com",
            "affiliation": "N",
            "endpointDescription": "health and wellness",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14923 NW 7th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331683107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.