Organization Active NPI

Wellness Manifested Holistic Healthcare

Doing business as Wellness Manifested

  • Primary Care Nurse Practitioner
  • Cocoa, FL
National Provider Identifier
1497695027
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
WELLNESS MANIFESTED HOLISTIC HEALTHCARE
Doing business as
Wellness Manifested
Practice address
515 Dryden Cir
Cocoa, FL 32926-2487
Phone
(321) 223-5513
NPI assigned
Apr 1, 2026
Last updated
Apr 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Sharon Jones, APRNNPI 1063173946
Title
Authorized Official
Phone
(321) 223-5513

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
Primary Care Nurse Practitioner 363LP2300X Primary

Addresses

Primary practice location

515 Dryden Cir
Cocoa, FL 32926-2487

Mailing address

515 Dryden Cir
Cocoa, FL 32926-2487
Phone (321) 223-5513

Other names 1

  • Wellness Manifested 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": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1497695027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 DRYDEN CIR",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329262487",
            "telephone_number": "321-223-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 DRYDEN CIR",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329262487",
            "telephone_number": "321-223-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MANIFESTED HOLISTIC HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "321-223-5513",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Manifested",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.