Organization Active NPI

Wellcomemd Naples Clinic, LLC

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1164019261
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELLCOMEMD NAPLES CLINIC, LLC
Practice address
1890 SW Health Pkwy Ste 100
Naples, FL 34109-0473
Phone
(239) 597-0544
Fax
(877) 500-8032
NPI assigned
Dec 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Jessica Parnell
Title
Regional Director of Practice MGMT
Phone
(804) 256-8205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1890 SW Health Pkwy Ste 100
Naples, FL 34109-0473

Mailing address

10001 Patterson Ave Ste 202
Richmond, VA 23238-5126

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1164019261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 PATTERSON AVE STE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232385126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SW HEALTH PKWY STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090473",
            "telephone_number": "239-597-0544",
            "fax_number": "877-500-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCOMEMD NAPLES CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "PARNELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF PRACTICE MGMT",
        "authorized_official_telephone_number": "804-256-8205"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.