Organization Active NPI

Mana Alternative Health, LLC

  • Primary Care Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1548898521
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
MANA ALTERNATIVE HEALTH, LLC
Practice address
840 33Rd Ave
Vero Beach, FL 32960-4090
Phone
(772) 564-9638
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Pamela Jean Brower, NURSE PRACTITIONER
Title
Aprn
Phone
(772) 564-9638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

840 33Rd Ave
Vero Beach, FL 32960-4090

Mailing address

840 33Rd Ave
Vero Beach, FL 32960-4090
Phone (772) 564-9638

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1548898521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 33RD AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604090",
            "telephone_number": "772-564-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 33RD AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604090",
            "telephone_number": "772-564-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANA ALTERNATIVE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "BROWER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "772-564-9638",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.