NPIMap

Organization Active NPI

Essence of Time Healing and Wellness LLC

  • Clinic/Center
  • Coconut Creek, FL
National Provider Identifier
1619785227
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ESSENCE OF TIME HEALING AND WELLNESS LLC
Practice address
4400 W Sample Rd Ste 112
Coconut Creek, FL 33073-3457
Phone
(954) 910-4651
Fax
(954) 301-3814
NPI assigned
Dec 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Miss Shameka Yvonne Time, ARNPNPI 1558957100
Title
Manager
Phone
(954) 910-4651

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4400 W Sample Rd Ste 112
Coconut Creek, FL 33073-3457

Mailing address

4400 W Sample Rd Ste 112
Coconut Creek, FL 33073-3457
Phone (954) 910-4651

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.

NPI Registry JSON

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

{
    "created_epoch": "1735344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1619785227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD STE 112",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733457",
            "telephone_number": "954-910-4651",
            "fax_number": "954-301-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD STE 112",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733457",
            "telephone_number": "954-910-4651",
            "fax_number": "954-301-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE OF TIME HEALING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-28",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "TIME",
        "authorized_official_first_name": "SHAMEKA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-910-4651",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.