Laurel Direct Primary Care & Wellness, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LAUREL DIRECT PRIMARY CARE & WELLNESS, LLC

Practice address

13001 Spring Hill Dr
Spring Hill, FL 34609-5048

Phone

(239) 565-6268

NPI assigned

Oct 3, 2026

Last updated

Oct 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori L Wistling, APRN

Title

Owner/Aprn

Phone

(239) 565-6268

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790985600000",
    "number": "1417851627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095048",
            "telephone_number": "239-565-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL DIRECT PRIMARY CARE & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-03",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A",
        "authorized_official_last_name": "WISTLING",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "239-565-6268",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.