NPIMap

Organization Active NPI

Boca Wellness, Inc.

  • Nutrition Education Nutritionist
  • Boca Raton, FL
National Provider Identifier
1629327465
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
BOCA WELLNESS, INC.
Practice address
17340 Boca Club Blvd
Suite 703
Boca Raton, FL 33487-1024
Phone
(954) 328-9124
NPI assigned
Sep 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Karen Novek Reynolds
Title
President
Phone
(954) 328-9124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133NN1002X Primary

Addresses

Primary practice location

17340 Boca Club Blvd
Suite 703
Boca Raton, FL 33487-1024

Mailing address

17340 Boca Club Blvd
Suite 703
Boca Raton, FL 33487-1024

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1629327465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17340 BOCA CLUB BLVD",
            "address_2": "SUITE 703",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17340 BOCA CLUB BLVD",
            "address_2": "SUITE 703",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871024",
            "telephone_number": "954-328-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "NOVEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-328-9124"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.