Active NPI
The Wholistic Lotus LLC
- Clinic/Center
- Ponte Vedra, FL
National Provider Identifier
1679490692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.