Active NPI
Vitaminise Wellnest Clinic
- Family Nurse Practitioner
- Orlando, FL
National Provider Identifier
1518779115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- VITAMINISE WELLNEST CLINIC
- Practice address
- 9753 S Orange Blossom TRL Ste 101
Orlando, FL 32837-8998 - Phone
- (689) 310-2613
- Fax
- (407) 386-3220
- NPI assigned
- Jan 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Henson, APRN
- Title
- Chief Executive Officer
- Phone
- (689) 310-3313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
9753 S Orange Blossom TRL Ste 101
Orlando, FL 32837-8998
Mailing address
Elizabeth.Henson@Wellnesthcc.Com
437 Panda PL
Davenport, FL 33837
Phone (689) 310-3310
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Orlando, FL
- NPI 1144816265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737504000000",
"number": "1518779115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ELIZABETH.HENSON@WELLNESTHCC.COM",
"address_2": "437 PANDA PL",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "33837",
"telephone_number": "689-310-3310",
"fax_number": "407-386-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9753 S ORANGE BLOSSOM TRL STE 101",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328378998",
"telephone_number": "689-310-2613",
"fax_number": "407-386-3220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAMINISE WELLNEST CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-22",
"last_updated": "2025-01-22",
"certification_date": "2025-01-16",
"status": "A",
"authorized_official_last_name": "HENSON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "689-310-3313",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.