Active NPI
Lumina Wellness Group LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pembroke Pines, FL
National Provider Identifier
1215748934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LUMINA WELLNESS GROUP LLC
- Practice address
- 737 North West
135TH Avenue
Pembroke Pines, FL 33028 - Phone
- (786) 200-7553
- NPI assigned
- Jan 14, 2025
- 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
- Alexander Stephens, FNP
- Title
- Owner
- Phone
- (786) 200-7553
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
737 North West
135TH Avenue
Pembroke Pines, FL 33028
Mailing address
2114 N Flamingo Rd # 5034
Pembroke Pines, FL 33028-3501
Phone (786) 200-7553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Palmetto, FL
- NPI 1811659758
-
- Family Nurse Practitioner
- Boynton Beach, FL
- NPI 1932674785
-
- Psychiatric/Mental Health Nurse Practitioner
- Hialeah, FL
- NPI 1275374878
-
- Family Nurse Practitioner
- Sunrise, FL
- NPI 1164252086
-
- Cardiovascular Disease Physician
- Weston, FL
- NPI 1205896743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768176000000",
"number": "1215748934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 N FLAMINGO RD # 5034",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330283501",
"telephone_number": "786-200-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 NORTH WEST",
"address_2": "135TH AVENUE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33028",
"telephone_number": "786-200-7553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMINA WELLNESS GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-14",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-200-7553",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.