Beyond Wellness Healthcare LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

BEYOND WELLNESS HEALTHCARE LLC

Practice address

145 Avenue G SW
Winter Haven, FL 33880-3435

Phone

(863) 266-4517

Fax

(888) 464-0733

NPI assigned

May 25, 2022

Last updated

Nov 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn Elizabeth White, NP-C

Title

Co Owner

Phone

(863) 266-4517

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669248000000",
    "number": "1336887694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 AVENUE G SW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803435",
            "telephone_number": "863-266-4517",
            "fax_number": "888-464-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 AVENUE G SW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803435",
            "telephone_number": "863-266-4517",
            "fax_number": "888-464-0733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Whitaker Rd",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335495642",
            "country_code": "US",
            "telephone_number": "863-266-4517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEYOND WELLNESS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-11-24",
        "certification_date": "2022-11-24",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "863-266-4517",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115299600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Support@beyondwellnesshealthcare.org",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "106 Whitaker Rd",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335495642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Support@beyondwellnesshealthcare.org",
            "affiliation": "N",
            "address_1": "145 Avenue G SW",
            "city": "Winter Haven",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338803435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Winter Haven, FL
• Providers in Winter Haven, 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 Nov 24, 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.