Active NPI
Magnolia Bloom Wellness LLC
- Family Nurse Practitioner
- New Port Richey, FL
National Provider Identifier
1124956701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MAGNOLIA BLOOM WELLNESS LLC
- Practice address
- 5727 Missouri Ave # 101
New Port Richey, FL 34652-2735 - Phone
- (727) 624-8056
- NPI assigned
- May 12, 2026
- 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
- Mrs. Leona Sandelier, APRN
- Title
- Nurse Practitioner
- Phone
- (727) 624-8056
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
5727 Missouri Ave # 101
New Port Richey, FL 34652-2735
Mailing address
5727 Missouri Ave # 101
New Port Richey, FL 34652-2735
National Provider Directory
National Provider DirectoryLocations
5727 Missouri Ave
#101
New Port Richey, FL 34652
Phone (727) 624-8056
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Tampa, FL
- NPI 1972224913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1124956701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5727 MISSOURI AVE # 101",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346522735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5727 MISSOURI AVE # 101",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346522735",
"telephone_number": "727-624-8056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA BLOOM WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-12",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A",
"authorized_official_last_name": "SANDELIER",
"authorized_official_first_name": "LEONA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "727-624-8056",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.