Organization Active NPI

Auvan Clinic-Health and Wellness Group LLC

  • Primary Care Clinic/Center
  • Naples, FL
National Provider Identifier
1376125880
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
AUVAN CLINIC-HEALTH AND WELLNESS GROUP LLC
Doing business as
Auvan Clinic-Health and Wellness Group LLC
Practice address
4270 Tamiami TRL E Ste 201
Naples, FL 34112-6887
Phone
(239) 799-7219
Fax
(239) 799-7209
NPI assigned
Apr 23, 2021
Last updated
Sep 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Mr. Aubrey Washington Fulton, APRNNPI 1144695842
Title
Aprn
Phone
(678) 733-1998

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4270 Tamiami TRL E Ste 201
Naples, FL 34112-6887

Mailing address

4270 Tamiami TRL E Ste 201
Naples, FL 34112-6887
Phone (239) 799-7219

Other names 1

  • AUVAN CLINIC-HEALTH AND WELLNESS GROUP LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220602001945 FL Part B Supplier - Clinic/Group Practice 6305243866 Receives reassigned benefits from 3 practitioners
Practice locations: Naples, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2229606Auvan Clinic- Health and Wellness Group4270 Tamiami Trail E Ste 201, Naples, FL 34112Certificate of waiverJul 13, 2027

National Provider Directory

National Provider Directory

Locations

4270 Tamiami Trl E
Naples, FL 34112
Phone (239) 774-7523

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1376125880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 TAMIAMI TRL E STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126887",
            "telephone_number": "239-799-7219",
            "fax_number": "239-799-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 TAMIAMI TRL E STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126887",
            "telephone_number": "239-799-7219",
            "fax_number": "239-799-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUVAN CLINIC-HEALTH AND WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "WASHINGTON",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "678-733-1998",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUVAN CLINIC-HEALTH AND WELLNESS GROUP LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AUVAN CLINIC-HEALTH AND WELLNESS GROUP LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.