Active NPI
Wellness Wave Inc.
- Community/Behavioral Health Agency
- North Lauderdale, FL
National Provider Identifier
1386455400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- WELLNESS WAVE INC.
- Practice address
- 8326 S Coral Circle
North Lauderdale, FL 33068 - Phone
- (954) 770-7546
- NPI assigned
- Jan 17, 2025
- Last updated
- Jan 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tennile Nembhard
- Title
- Co
- Phone
- (954) 266-8362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
8326 S Coral Circle
North Lauderdale, FL 33068
Mailing address
1150 NW 72ND Ave Ste 455
Miami, FL 33126-1947
Phone (954) 770-7546
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737417600000",
"number": "1386455400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 NW 72ND AVE STE 455",
"city": "MIAMI",
"state": "FL",
"postal_code": "331261947",
"telephone_number": "954-770-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8326 S CORAL CIRCLE",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "33068",
"telephone_number": "954-770-7546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS WAVE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-17",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A",
"authorized_official_last_name": "NEMBHARD",
"authorized_official_first_name": "TENNILE",
"authorized_official_title_or_position": "CO",
"authorized_official_telephone_number": "954-266-8362"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Christine Marie Weiss, APRN
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- Carashay Williams
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.