Active NPI
Wildflower Weight Loss PLLC
- Nurse Practitioner
- Lake Mary, FL
National Provider Identifier
1285329524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- WILDFLOWER WEIGHT LOSS PLLC
- Practice address
- 801 International Pkwy Ste 500
Lake Mary, FL 32746-4763 - Phone
- (407) 869-4770
- NPI assigned
- Apr 11, 2023
- Last updated
- Apr 11, 2023
- 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
- Anne Marie Noe, NP
- Title
- Owner
- Phone
- (407) 869-4770
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
801 International Pkwy Ste 500
Lake Mary, FL 32746-4763
Mailing address
801 International Pkwy Ste 500
Lake Mary, FL 32746-4763
Phone (407) 869-4770
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Lake Mary, FL
- NPI 1043689797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681171200000",
"number": "1285329524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 INTERNATIONAL PKWY STE 500",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327464763",
"telephone_number": "407-869-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 INTERNATIONAL PKWY STE 500",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327464763",
"telephone_number": "407-869-4770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILDFLOWER WEIGHT LOSS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A",
"authorized_official_last_name": "NOE",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-869-4770",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.