Organization Active NPI

Vitaminise Wellnest Clinic

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1518779115
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Jan 22, 2025

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 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.

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.

Verify at the official NPI Registry.