Organization Active NPI

Holistic Aesthetic Wellness Inc

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1619654506
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
HOLISTIC AESTHETIC WELLNESS INC
Practice address
9240 SW 72ND St Ste 241
Miami, FL 33173-3265
Phone
(305) 271-1919
NPI assigned
Jul 3, 2023
Last updated
Jul 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Marlyn Morejon, APRNNPI 1740890466
Title
Owner
Phone
(786) 351-6114

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

9240 SW 72ND St Ste 241
Miami, FL 33173-3265

Mailing address

PO Box 174012
Hialeah, FL 33017-4012

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1619654506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 174012",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330174012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 SW 72ND ST STE 241",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733265",
            "telephone_number": "305-271-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC AESTHETIC WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-01",
        "status": "A",
        "authorized_official_last_name": "MOREJON",
        "authorized_official_first_name": "MARLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-351-6114",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.

Verify at the official NPI Registry.