Wellspring Preservation Medical Vacation Boutique & Spa, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

WELLSPRING PRESERVATION MEDICAL VACATION BOUTIQUE & SPA, LLC

Practice address

14051 SW 152ND Ter
Miami, FL 33177-0910

Phone

(786) 261-9088

NPI assigned

Jan 31, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Sophia M Ferguson, APRN

Title

Agacnp-BC

Phone

(786) 261-9088

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1306301635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14051 SW 152ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331770910",
            "telephone_number": "786-261-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14051 SW 152ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331770910",
            "telephone_number": "786-261-9088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14051 SW 152ND TERRACE",
            "address_purpose": "LOCATION",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33177",
            "country_code": "US",
            "telephone_number": "786-261-9088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLSPRING PRESERVATION MEDICAL VACATION BOUTIQUE & SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AGACNP-BC",
        "authorized_official_telephone_number": "786-261-9088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selina Renee Wellons
• David E Wells, MD
• Nicole E Wells, DO
• Rachael L Wells
• Valerie Wells, APRN,BC
• Catherine F Welsh, MD
• Lisa Jean Welsh, PA-C
• Welspatea
• Welspatea Holistic Living, LLC
• Joshua Welz, RMFTI

• Adult Health Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.