Organization Active NPI

Om Holistic Health

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1750099560
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OM HOLISTIC HEALTH
Practice address
1190 NW 95TH St
Miami, FL 33150-2063
Phone
(729) 209-7801
NPI assigned
Nov 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Jamiela Kersellius, MSN,APRN,FNP-BCNPI 1508448986
Title
Owner
Phone
(786) 759-5703

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1190 NW 95TH St
Miami, FL 33150-2063

Mailing address

1190 NW 95TH St Ste 203
Miami, FL 33150-2064
Phone (786) 759-5703

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1750099560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502064",
            "telephone_number": "786-759-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502063",
            "telephone_number": "729-209-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM HOLISTIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "KERSELLIUS",
        "authorized_official_first_name": "JAMIELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-759-5703",
        "authorized_official_credential": "MSN,APRN,FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 1, 2023; 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.