Be Well Adult, NP, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BE WELL ADULT, NP, PLLC

Practice address

1461 Lakeland Ave Unit 9
Bohemia, NY 11716-2174

Phone

(631) 467-8224

Fax

(631) 585-7575

NPI assigned

Mar 28, 2024

Organization subpart

Yes

Parent organization

BE WELL ADULT, NP, PLLCAs reported in NPPES

Name

Nicole Flemming, CPC,CRC,CPC,CBCS,CMA

Title

Billing and Credentialing Manager

Phone

(843) 640-9342

Part of

Be Well Adult NP PLLC

Locations

• Envision Intergrative Services Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 6, 2024.

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1104677095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 LAKELAND AVE UNIT 9",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162174",
            "telephone_number": "631-467-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 LAKELAND AVE UNIT 9",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162174",
            "telephone_number": "631-467-8224",
            "fax_number": "631-585-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELL ADULT, NP, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BE WELL ADULT, NP, PLLC",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "FLEMMING",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "843-640-9342",
        "authorized_official_credential": "CPC,CRC,CPC,CBCS,CMA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Intergrative Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Envision Intergrative Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacquelin Bahret, DPT
• Samantha Preya Baiju, RN
• Kelsey Barnett
• Bernadette Barto
• Alexandria Marie Baxter, LCSW
• Steven J Bender, M.A., CCC-SLP
• Barbara Benney, PT
• Danielle Ashley Berger, MHC-LP
• Matthew Berry, LMHC, CASAC
• Best Choice Medical PC

• All providers in Bohemia, NY
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.