Active NPI
Peace Healing and Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- Boca Raton, FL
National Provider Identifier
1619776374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PEACE HEALING AND WELLNESS LLC
- Practice address
- 1650 S Dixie Hwy Ste 203
Boca Raton, FL 33432-7461 - Phone
- (954) 671-0258
- NPI assigned
- Mar 13, 2025
- 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
- Tracy Ann Damiela Thompson, APRN
- Title
- Co-Owner
- Phone
- (954) 671-0258
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1650 S Dixie Hwy Ste 203
Boca Raton, FL 33432-7461
Mailing address
1650 S Dixie Hwy Ste 203
Boca Raton, FL 33432-7461
Phone (954) 671-0258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4907 NE 12th Ave
Oakland Park, FL 33334
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Coral Springs, FL
- NPI 1205647666
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Tamarac, FL
- NPI 1548972730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750377600000",
"number": "1619776374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 S DIXIE HWY STE 203",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334327461",
"telephone_number": "954-671-0258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 S DIXIE HWY STE 203",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334327461",
"telephone_number": "954-671-0258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACE HEALING AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-13",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "TRACY ANN",
"authorized_official_middle_name": "DAMIELA",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "954-671-0258",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
- Pbi Medical
- Pbism Premier, Inc.
- Pbism West Boca, Inc. (Palm Beach Institute of Sports Medicine)
- PCP 1St
- Pdi Pharmacy Services, Inc.
- Peace of Mind Evaluations and Consulting Services, LLC
- Peaceful Path Counseling, LLC
- Peaceful Pulse LLC (Peaceful Pulse Homecare)
- Elissa Pearl, LMFT
- Kaitlyn Ann Pearl, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.