Organization Active NPI

Wellness Works Medical Group LLC

  • Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1295344059
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WELLNESS WORKS MEDICAL GROUP LLC
Practice address
104 SE Lonita St
Stuart, FL 34994-3447
Phone
(772) 463-2344
Fax
(772) 463-9565
NPI assigned
Jul 28, 2020
Last updated
Jul 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Nida Rizvi, APRNNPI 1275122129
Title
President
Phone
(703) 678-7695

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary
General Practice Registered Nurse 163WG0000X NU
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

104 SE Lonita St
Stuart, FL 34994-3447

Mailing address

104 SE Lonita St
Stuart, FL 34994-3447
Phone (772) 463-2344

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": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1295344059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SE LONITA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943447",
            "telephone_number": "772-463-2344",
            "fax_number": "772-463-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SE LONITA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943447",
            "telephone_number": "772-463-2344",
            "fax_number": "772-463-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WORKS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "NIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-678-7695",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 6, 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.

Verify at the official NPI Registry.