Organization Active NPI

Kla Enterprises, LLC Dba Luxe Health & Wellness

  • Family Medicine Physician
  • Macclenny, FL
National Provider Identifier
1164359394
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KLA ENTERPRISES, LLC DBA LUXE HEALTH & WELLNESS
Practice address
1230 S 6TH St
Macclenny, FL 32063-4619
Phone
(904) 651-6585
NPI assigned
May 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Kelly Lynn Andrews and Mat Andrews, APRNNPI 1679149983
Title
Aprn, Owner
Phone
(904) 531-4885

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1230 S 6TH St
Macclenny, FL 32063-4619

Mailing address

1230 S 6TH St
Macclenny, FL 32063-4619
Phone (904) 531-4885

National Provider Directory

National Provider Directory

Locations

1230 S 6th St
Macclenny, FL 32063
Phone (904) 651-6585

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": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1164359394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S 6TH ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320634619",
            "telephone_number": "904-531-4885",
            "fax_number": "904-584-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S 6TH ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320634619",
            "telephone_number": "904-651-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLA ENTERPRISES, LLC DBA LUXE HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LYNN ANDREWS AND MAT",
        "authorized_official_title_or_position": "APRN, OWNER",
        "authorized_official_telephone_number": "904-531-4885",
        "authorized_official_credential": "APRN"
    },
    "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 Macclenny, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.