Organization Active NPI

Archer Health and Wellness, LLC

  • Primary Care Clinic/Center
  • Loxahatchee, FL
National Provider Identifier
1447019526
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ARCHER HEALTH AND WELLNESS, LLC
Practice address
7070 Seminole Pratt Whitney Rd Ste 5
Loxahatchee, FL 33470-3491
Phone
(561) 660-5749
Fax
(561) 660-5719
NPI assigned
Mar 19, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Shaniquea Nayouka a Archer, APRNNPI 1912677279
Title
MGR/Owner
Phone
(305) 333-7784

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU
Primary Care Clinic/Center 261QP2300X NU Primary
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

7070 Seminole Pratt Whitney Rd Ste 5
Loxahatchee, FL 33470-3491

Mailing address

PO Box 81
Loxahatchee, FL 33470-0081
Phone (561) 660-5749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240703001396 FL Part B Supplier - Clinic/Group Practice 5496299232 Receives reassigned benefits from 1 practitioner
Practice locations: Loxahatchee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2309532Archer Health and Wellness, LLC7070 Seminole Pratt Whitney Rd., Ste #5, Loxahatchee, FL 33470Certificate of waiverAug 15, 2026

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": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1447019526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334700081",
            "telephone_number": "561-660-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 SEMINOLE PRATT WHITNEY RD STE 5",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334703491",
            "telephone_number": "561-660-5749",
            "fax_number": "561-660-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHER HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "SHANIQUEA",
        "authorized_official_middle_name": "NAYOUKA A",
        "authorized_official_title_or_position": "MGR/OWNER",
        "authorized_official_telephone_number": "305-333-7784",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.