Stormy's Primary Care and Wellness Medspa LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

STORMY'S PRIMARY CARE AND WELLNESS MEDSPA LLC

Doing business as

Stormys Primary Care & Wellness

Practice address

20200 W Dixie Hwy Ste 805B
Miami, FL 33180-1920

Phone

(786) 809-1855

Fax

(305) 990-8832

NPI assigned

Feb 5, 2022

Organization subpart

No

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

Authorized official

Name

Stormy Gale McBride, APRNNPI 1639651615

Title

Aprn/Owner

Phone

(305) 934-8667

Specialties & licenses 1

Addresses

Other names 1

• Stormys Primary Care & Wellness Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stormy Gale McBride, APNP

  • Acute Care Nurse Practitioner
  • Miami, FL
  • NPI 1639651615
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1639823040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LESLIE DR APT 1014",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092910",
            "telephone_number": "786-809-1855",
            "fax_number": "305-990-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20200 W DIXIE HWY STE 805B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801920",
            "telephone_number": "786-809-1855",
            "fax_number": "305-990-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STORMY'S PRIMARY CARE AND WELLNESS MEDSPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-05",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "STORMY",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "APRN/OWNER",
        "authorized_official_telephone_number": "305-934-8667",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Stormy'sPrimaryCare@aol.com",
            "affiliation": "N",
            "endpointDescription": "Software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20200 W Dixie Hwy Ste 805B",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331801920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stormys Primary Care & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gerontology Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.