Cre8 Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CRE8 HEALTH LLC

Practice address

152 N Harbor City Blvd Ste 100
Melbourne, FL 32935-6794

Phone

(321) 380-1300

Fax

(321) 380-1380

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Kelly Jean Dinapoli, APRN

Title

Ceo

Phone

(321) 380-1300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1437833845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MALABAR RD SE",
            "address_2": "STE 111 BOX 304",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073239",
            "telephone_number": "321-380-1300",
            "fax_number": "321-380-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N HARBOR CITY BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356794",
            "telephone_number": "321-380-1300",
            "fax_number": "321-380-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRE8 HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "DINAPOLI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-380-1300",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.