Kairwell Weight and Wellness LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

KAIRWELL WEIGHT AND WELLNESS LLC

Practice address

745 NW Federal Hwy
Stuart, FL 34994-1016

Phone

(772) 291-2799

NPI assigned

Aug 7, 2020

Organization subpart

No

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

Authorized official

Name

Sean Bannister, PA-CNPI 1205976487

Title

Owner, President

Phone

(972) 890-2156

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Patrick Alonza Bannister, PA-C

  • Surgical Physician Assistant
  • Stuart, FL
  • NPI 1205976487
  NPD Authorized official

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1629688221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 NW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 NW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941016",
            "telephone_number": "772-291-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIRWELL WEIGHT AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "BANNISTER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "972-890-2156",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary S Kabinoff, M.D.
• Christine Kadin, LMHC, CAP, CCTP
• Phoenix Kadzis, OTD, OTR/L
• Lanna Kahan, M.S., CCC-SLP
• Alex Kahrs, RBT
• Kaylee Kaiser, DC
• Mark Raymond Kaiser, M.D.
• Seth Alexander Kaiser, DC
• Jody Lynn Kaler, ED.S.,LMHC,NCC
• Check C. Kam, M.D.

• Multi-Specialty Clinic/Center in Stuart, FL
• Providers in Stuart, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.