Active NPI
Employee Wellness, P.a.
- Internal Medicine Physician
- Stuart, FL
National Provider Identifier
1295028348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- EMPLOYEE WELLNESS, P.A.
- Practice address
- 1050 SE Monterey Rd
Suite 101
Stuart, FL 34994-4512 - Phone
- (772) 872-7304
- NPI assigned
- May 24, 2011
- 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
- Shaheba Marie Davi
- Title
- Office Manager
- Phone
- (772) 872-7304
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1050 SE Monterey Rd
Suite 101
Stuart, FL 34994-4512
Mailing address
1050 SE Monterey Rd
Suite 101
Stuart, FL 34994-4512
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2005904 | Employee Wellness PA | Certificate of waiver | Apr 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
1050 SE Monterey Rd
Ste 101
Stuart, FL 34994
Phone (772) 419-0560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306195200000",
"number": "1295028348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 SE MONTEREY RD",
"address_2": "SUITE 101",
"city": "STUART",
"state": "FL",
"postal_code": "349944512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 SE MONTEREY RD",
"address_2": "SUITE 101",
"city": "STUART",
"state": "FL",
"postal_code": "349944512",
"telephone_number": "772-872-7304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPLOYEE WELLNESS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-24",
"last_updated": "2011-05-24",
"status": "A",
"authorized_official_last_name": "DAVI",
"authorized_official_first_name": "SHAHEBA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "772-872-7304"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.