Organization Active NPI

Pure Wellness & Rejuvenation

  • Health Service Clinic/Center
  • Tampa, FL
National Provider Identifier
1225894645
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PURE WELLNESS & REJUVENATION
Practice address
3031 W Cypress St Ste a
Tampa, FL 33609-1647
Phone
(570) 651-0007
NPI assigned
Feb 23, 2024
Last updated
Feb 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Janel MayerNPI 1720535669
Title
Owner
Phone
(570) 651-0007

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
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

3031 W Cypress St Ste a
Tampa, FL 33609-1647

Mailing address

3304 W Ohio Ave
Tampa, FL 33607-6211
Phone (570) 651-0007

National Provider Directory

National Provider Directory

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": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1225894645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 W OHIO AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076211",
            "telephone_number": "570-651-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W CYPRESS ST STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091647",
            "telephone_number": "570-651-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE WELLNESS & REJUVENATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "JANEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-651-0007"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.