Body & Sole Wellness, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9279753 Issued in FL

Legal business name

BODY & SOLE WELLNESS, LLC

Practice address

8585 Sunset Dr Ste 103
Miami, FL 33143-3753

Phone

(954) 243-9946

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Yana Nicole Blaise, ARNP, DNPNPI 1083859789

Title

President

Phone

(954) 243-9946

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yana Nicole Blaise, RN, FNP

  • Family Nurse Practitioner
  • Opa Locka, FL
  • NPI 1083859789
  NPD Authorized official

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1366956518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 NW 10TH CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224851",
            "telephone_number": "954-243-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 SUNSET DR STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331433753",
            "telephone_number": "954-243-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY & SOLE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "BLAISE",
        "authorized_official_first_name": "YANA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-243-9946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ARNP, DNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "9279753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Alejandra Bodolay, DPT
• Jacob Bodway
• Body & Healing Evolution, LLC
• Body & Mind Rehab Inc
• Body & Mind Rehab Medical Center Inc
• Body by Abbate, LLC (Dr. Abbate Physical Therapy)
• Body Mind Spirit Natural Health
• Body RX Antiaging LLC
• Body-Mind Medical Care
• Bodyforge Physical Therapy LLC

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.