Active NPI
Beyond the Body Wellness LLC
- Primary Care Nurse Practitioner
- Lehigh Acres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- BEYOND THE BODY WELLNESS LLC
- Practice address
- 1121 Homestead Rd N Ste 279
Lehigh Acres, FL 33936-6038 - Phone
- (765) 432-7195
- NPI assigned
- Mar 14, 2022
- Last updated
- Mar 14, 2022
- 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. Dedra D Coop, NP
- Title
- NP/President
- Phone
- (765) 432-7195
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
1121 Homestead Rd N Ste 279
Lehigh Acres, FL 33936-6038
Mailing address
1121 Homestead Rd N Ste 279
Lehigh Acres, FL 33936-6038
Phone (765) 432-7195
Other practice location 1
4403 E 19th St
Lehigh Acres, FL 33972-1400
Phone (765) 432-7195
National Provider Directory
National Provider DirectoryLocations
1121 Homestead Rd N
Lehigh Acres, FL 33936
Phone (765) 432-7195
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.
-
- Nurse Practitioner
- Fort Myers, FL
- NPI 1740779701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647216000000",
"number": "1194473751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 HOMESTEAD RD N STE 279",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339366038",
"telephone_number": "765-432-7195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 HOMESTEAD RD N STE 279",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339366038",
"telephone_number": "765-432-7195"
}
],
"practiceLocations": [
{
"address_1": "4403 E 19th St",
"address_purpose": "LOCATION",
"city": "Lehigh Acres",
"state": "FL",
"postal_code": "339721400",
"country_code": "US",
"telephone_number": "765-432-7195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BEYOND THE BODY WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-02-28",
"status": "A",
"authorized_official_last_name": "COOP",
"authorized_official_first_name": "DEDRA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "NP/PRESIDENT",
"authorized_official_telephone_number": "765-432-7195",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.