Organization Active NPI

Elite Body and Wellness

  • Psychiatry Physician
  • Magnolia, DE
National Provider Identifier
1134084577
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ELITE BODY AND WELLNESS
Practice address
1182 W Birdie LN
Magnolia, DE 19962-3103
Phone
(302) 480-3390
NPI assigned
Dec 18, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jonnise Fields, PMHNPNPI 1184592180
Title
Owner
Phone
(302) 480-3390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DE

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260402004138 DE Part B Supplier - Clinic/Group Practice 8527543925 Receives reassigned benefits from 1 practitioner
Practice locations: Magnolia, DE

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

1182 W Birdie LN
Magnolia, DE 19962-3103

Mailing address

1182 W Birdie LN
Magnolia, DE 19962-3103

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2025.

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1134084577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 W BIRDIE LN",
            "city": "MAGNOLIA",
            "state": "DE",
            "postal_code": "199623103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 W BIRDIE LN",
            "city": "MAGNOLIA",
            "state": "DE",
            "postal_code": "199623103",
            "telephone_number": "302-480-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE BODY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "JONNISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-480-3390",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.