Meadows Wellness Clinic LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

MEADOWS WELLNESS CLINIC LLC

Practice address

151 Mary Esther Blvd Ste 403a
Mary Esther, FL 32569-1975

Phone

(850) 226-8117

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Meadows, APRNNPI 1538395587

Title

Aprn

Phone

(850) 226-8117

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

Locations

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.

• Angela Marie Meadows, ARNP

  • Family Nurse Practitioner
  • Mary Esther, FL
  • NPI 1538395587
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1528539855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MARY ESTHER BLVD STE 403A",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691975",
            "telephone_number": "850-226-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MARY ESTHER BLVD STE 403A",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691975",
            "telephone_number": "850-226-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "850-226-8117",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaiah Eriq McGuire
• Kameko Hazley McGuire, DNP, PMHNP-BC, NP-C
• Melissa McKinney, DC
• Carlise Cherilyn McLaughlin, LCSW, CAP
• Jacinda Christine McMullen, RD
• Angela Marie Meadows, ARNP
• Med Plus of NWF
• Med Plus, LLC
• Michael D. Gusack, Ma, LMHC
• Michael J. Hill O.D. PA

• Primary Care Nurse Practitioner in Mary Esther, FL
• Providers in Mary Esther, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.