Active NPI
Wellnessfix LLC
- Psychiatric/Mental Health Nurse Practitioner
- Largo, FL
National Provider Identifier
1750128104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- WELLNESSFIX LLC
- Practice address
- 9668 105TH Ter
Largo, FL 33773-4507 - Phone
- (901) 596-6748
- Fax
- (949) 703-7165
- NPI assigned
- Jul 12, 2024
- 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
- Teresa C Hug, APN
- Title
- Pmhnp
- Phone
- (901) 596-6758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
9668 105TH Ter
Largo, FL 33773-4507
Mailing address
9668 105TH Ter
Largo, FL 33773-4507
Phone (901) 596-6748
Other practice location 1
7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Phone (901) 596-6748
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720742400000",
"number": "1750128104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9668 105TH TER",
"city": "LARGO",
"state": "FL",
"postal_code": "337734507",
"telephone_number": "901-596-6748",
"fax_number": "949-703-7165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9668 105TH TER",
"city": "LARGO",
"state": "FL",
"postal_code": "337734507",
"telephone_number": "901-596-6748",
"fax_number": "949-703-7165"
}
],
"practiceLocations": [
{
"address_1": "7901 4th St N Ste 300",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337024399",
"country_code": "US",
"telephone_number": "901-596-6748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WELLNESSFIX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-12",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A",
"authorized_official_last_name": "HUG",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "901-596-6758",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.