Organization Active NPI

Wellness Pedicures by Jay

  • Other Technician
  • Davie, FL
National Provider Identifier
1619789062
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
WELLNESS PEDICURES BY JAY
Doing business as
Wellness Pedicures by Jay
Practice address
5400 S University Dr Ste 402
Davie, FL 33328-5311
Phone
(954) 594-4771
NPI assigned
Jan 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Mrs. Jay Mella-Mignon
Title
Founder
Phone
(305) 951-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X Primary

Addresses

Primary practice location

5400 S University Dr Ste 402
Davie, FL 33328-5311

Mailing address

5400 S University Dr Ste 402
Davie, FL 33328-5311
Phone (954) 594-4771

Other names 1

  • Wellness Pedicures by Jay Doing business as

National Provider Directory

National Provider Directory

Locations

5400 S University Dr
Ste 402
Davie, FL 33328
Phone (954) 594-4771

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1619789062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR STE 402",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285311",
            "telephone_number": "954-594-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR STE 402",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285311",
            "telephone_number": "954-594-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PEDICURES BY JAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "MELLA-MIGNON",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "305-951-2001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Pedicures by Jay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.