NPIMap

Organization Active NPI

Wellness by the Sea Med Spa LLC

  • Nurse Practitioner
  • Frankford, DE
National Provider Identifier
1295448686
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WELLNESS BY THE SEA MED SPA LLC
Practice address
35998 Zion Church Rd Unit 1
Frankford, DE 19945-4501
Phone
(302) 278-0093
NPI assigned
Dec 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Authorized official

Name
Kimberly Crockett-Brasure, APRN-CNP
Title
Sole MBR
Phone
(302) 278-0093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

35998 Zion Church Rd Unit 1
Frankford, DE 19945-4501

Mailing address

35998 Zion Church Rd Unit 1
Frankford, DE 19945-4501
Phone (302) 278-0093

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1295448686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35998 ZION CHURCH RD UNIT 1",
            "city": "FRANKFORD",
            "state": "DE",
            "postal_code": "199454501",
            "telephone_number": "302-278-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35998 ZION CHURCH RD UNIT 1",
            "city": "FRANKFORD",
            "state": "DE",
            "postal_code": "199454501",
            "telephone_number": "302-278-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS BY THE SEA MED SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "CROCKETT-BRASURE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "302-278-0093",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.