Rudella'S Total Health and Wellness Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

RUDELLA'S TOTAL HEALTH AND WELLNESS CENTER

Practice address

8410 Cheswick Oak Ave
Jacksonville, FL 32244-7352

Phone

(904) 438-2797

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Sameka WilburnNPI 1548747330

Title

Owner

Phone

(904) 236-1268

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sameka Wilburn

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1548747330
  NPD (past) Authorized official

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1174000327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 ARGYLE FOREST BLVD STE 21",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446127",
            "telephone_number": "904-438-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 CHESWICK OAK AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447352",
            "telephone_number": "904-438-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDELLA'S TOTAL HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "WILBURN",
        "authorized_official_first_name": "SAMEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-236-1268",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene E. Ruckh, D.P.M.
• Walter Ruday Jr., MSW
• Jonathan Rudd
• Kelly Shivel Rudd, CRNA
• Lauren Nicole Rudder, BSN, RN
• Rebecca Elizabeth Rudisill, PT, DPT
• Leona Rudnicki-Roberts, MA
• Dawn Lee Rudolph, OTR/L
• Brandon Rudy, CRNA
• Lisa Rueckel, SLP

• Case Management Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.