Organization Active NPI

The Wholistic Lotus LLC

  • Clinic/Center
  • Ponte Vedra, FL
National Provider Identifier
1679490692
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE WHOLISTIC LOTUS LLC
Practice address
270 Parkbluff Cir
Ponte Vedra, FL 32081-0960
Phone
(904) 297-8701
NPI assigned
Jul 1, 2026
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Joanna Pena, DNP, APRN, FNP-C
Title
Owner
Phone
(904) 297-8701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

270 Parkbluff Cir
Ponte Vedra, FL 32081-0960

Mailing address

101 Marketside Ave Ste 404-311
Ponte Vedra, FL 32081-1541
Phone (904) 297-8701

National Provider Directory

National Provider Directory

Locations

101 Marketside Ave
Ste 404311
Ponte Vedra, FL 32081

NPI Registry JSON

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1679490692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARKETSIDE AVE STE 404-311",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811541",
            "telephone_number": "904-297-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PARKBLUFF CIR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810960",
            "telephone_number": "904-297-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WHOLISTIC LOTUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-297-8701",
        "authorized_official_credential": "DNP, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.