Active NPI
Wellness for Her
- Registered Dietitian
- Port St Lucie, FL
National Provider Identifier
1619650397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- WELLNESS FOR HER
- Practice address
- 4462 SW Attlee St
Port St Lucie, FL 34953-5595 - Phone
- (772) 708-8675
- NPI assigned
- Aug 9, 2023
- 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
- Natalia Jennifer Vaccarella, RD
- Title
- Ceo/Owner
- Phone
- (772) 708-8675
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary | ||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Oncology Nutrition Registered Dietitian | 133VN1301X |
Addresses
Primary practice location
4462 SW Attlee St
Port St Lucie, FL 34953-5595
Mailing address
4462 SW Attlee St
Port St Lucie, FL 34953-5595
Phone (772) 708-8675
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.
-
- Registered Dietitian
- Fort Lauderdale, FL
- NPI 1609520006
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691539200000",
"number": "1619650397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4462 SW ATTLEE ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349535595",
"telephone_number": "772-708-8675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4462 SW ATTLEE ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349535595",
"telephone_number": "772-708-8675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS FOR HER",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A",
"authorized_official_last_name": "VACCARELLA",
"authorized_official_first_name": "NATALIA",
"authorized_official_middle_name": "JENNIFER",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "772-708-8675",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1301X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Oncology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.