Organization Active NPI

Olive Branch Health and Wellness LLC

  • Gastroenterology Registered Nurse
  • Tampa, FL
National Provider Identifier
1316895865
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology Registered NurseTaxonomy code 163WG0100X
Legal business name
OLIVE BRANCH HEALTH AND WELLNESS LLC
Practice address
3018 N US Highway 301 Ste 200
Tampa, FL 33619-2271
Phone
(813) 679-5413
NPI assigned
Mar 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Paulette Vital-Herne, APRNNPI 1871193292
Title
Ceo
Phone
(813) 679-5413

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WG0100X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

3018 N US Highway 301 Ste 200
Tampa, FL 33619-2271

Mailing address

3018 N US Highway 301 Ste 200
Tampa, FL 33619-2271

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": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1316895865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 N US HIGHWAY 301 STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336192271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 N US HIGHWAY 301 STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336192271",
            "telephone_number": "813-679-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "VITAL-HERNE",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-679-5413",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.