Active NPI
Gaia Grove Wellness
- Pediatric Nurse Practitioner
- Miami, FL
National Provider Identifier
1699649681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- Legal business name
- GAIA GROVE WELLNESS
- Practice address
- 8315 SW 24TH St
Miami, FL 33155-1138 - Phone
- (305) 934-8460
- NPI assigned
- Oct 2, 2025
- 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
- Anna Villasuso, APRN
- Title
- Owner
- Phone
- (305) 934-8460
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | Primary | ||
| Women's Health Nurse Practitioner | 363LW0102X |
Addresses
Primary practice location
8315 SW 24TH St
Miami, FL 33155-1138
Mailing address
10521 SW 88TH St Ste E106
Miami, FL 33176-1554
National Provider Directory
National Provider DirectoryLocations
10521 SW 88th St
Ste E106
Miami, FL 33176
8315 SW 24th St
Miami, FL 33155
Phone (305) 934-8460
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Miami, FL
- NPI 1023700879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759363200000",
"number": "1699649681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10521 SW 88TH ST STE E106",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8315 SW 24TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331551138",
"telephone_number": "305-934-8460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAIA GROVE WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A",
"authorized_official_last_name": "VILLASUSO",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-934-8460",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.