Organization Active NPI

Elevate Health and Wellness, LLC

Doing business as Elevate Wellness

  • Family Nurse Practitioner
  • Santa Rosa Beach, FL
National Provider Identifier
1437893211
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ELEVATE HEALTH AND WELLNESS, LLC
Doing business as
Elevate Wellness
Practice address
327 S County Highway 393 Unit 201
Santa Rosa Beach, FL 32459-8209
Phone
(850) 972-9262
Fax
(850) 403-5533
NPI assigned
Apr 26, 2022
Last updated
Apr 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Lynde Jones, APRNNPI 1063953339
Title
Owner
Phone
(850) 972-9262

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
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

327 S County Highway 393 Unit 201
Santa Rosa Beach, FL 32459-8209

Mailing address

PO Box 1765
Santa Rosa Beach, FL 32459-1765
Phone (850) 972-9262

Other identifiers 1

IdentifierTypeStateIssuer
A549MOtherBLUECROSS BLUESHIELD

Other names 1

  • Elevate Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1437893211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1765",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324591765",
            "telephone_number": "850-972-9262",
            "fax_number": "850-403-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 S COUNTY HIGHWAY 393 UNIT 201",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324598209",
            "telephone_number": "850-972-9262",
            "fax_number": "850-403-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LYNDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-972-9262",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "A549M",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.