Organization Active NPI

JB Divine Wellness LLC

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1346006392
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
JB DIVINE WELLNESS LLC
Practice address
9221 Sun Terrace Circle #D
Palm Beach Gardens, FL 33403
Phone
(561) 677-0017
NPI assigned
Feb 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Janine Beattie, NP
Title
Owner
Phone
(561) 677-0017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

9221 Sun Terrace Circle #D
Palm Beach Gardens, FL 33403

Mailing address

9221 Sun Terrace Circle #D
Palm Beach Gardens, FL 33403
Phone (561) 677-0017

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1346006392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 SUN TERRACE CIRCLE #D",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33403",
            "telephone_number": "561-677-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 SUN TERRACE CIRCLE #D",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33403",
            "telephone_number": "561-677-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB DIVINE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "BEATTIE",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-677-0017",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.