Organization Active NPI

Wellness Wave Inc.

  • Community/Behavioral Health Agency
  • North Lauderdale, FL
National Provider Identifier
1386455400
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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": []
}

Other providers in North Lauderdale, FL

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.

Verify at the official NPI Registry.