Organization Active NPI

Pura Vida Health & Wellness Centers, Inc

  • Primary Care Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1689439507
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PURA VIDA HEALTH & WELLNESS CENTERS, INC
Practice address
8927 Hypoluxo Rd Ste PMB 1006
Lake Worth, FL 33467-5262
Phone
(561) 706-4392
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Ms. Marjorie Collins, FNP, PMHNP
Title
FNP, Pmhnp
Phone
(561) 706-4392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

8927 Hypoluxo Rd Ste PMB 1006
Lake Worth, FL 33467-5262

Mailing address

8927 Hypoluxo Rd Ste PMB 1006
Lake Worth, FL 33467-5262
Phone (561) 706-4392

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1689439507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8927 HYPOLUXO RD STE PMB 1006",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675262",
            "telephone_number": "561-706-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8927 HYPOLUXO RD STE PMB 1006",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675262",
            "telephone_number": "561-706-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURA VIDA HEALTH & WELLNESS CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "FNP, PMHNP",
        "authorized_official_telephone_number": "561-706-4392",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.