Active NPI
Ielevate Wellness LLC
- Family Nurse Practitioner
- Clermont, FL
National Provider Identifier
1760161954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- IELEVATE WELLNESS LLC
- Practice address
- 17410 FL-50
Suite 130
Clermont, FL 34711 - Phone
- (352) 708-3033
- NPI assigned
- Jul 14, 2023
- 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
- Thuc Tran, APRN
- Title
- Aprn/Founder
- Phone
- (407) 928-2229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
17410 FL-50
Suite 130
Clermont, FL 34711
Mailing address
17410 FL-50
Suite 130
Clermont, FL 34711
Phone (352) 708-3033
Other names 1
- iElevate Wellness
National Provider Directory
National Provider DirectoryLocations
17410 State Road 50
Ste 130
Clermont, FL 34711
Phone (352) 708-3033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689292800000",
"number": "1760161954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17410 FL-50",
"address_2": "SUITE 130",
"city": "CLERMONT",
"state": "FL",
"postal_code": "34711",
"telephone_number": "352-708-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17410 FL-50",
"address_2": "SUITE 130",
"city": "CLERMONT",
"state": "FL",
"postal_code": "34711",
"telephone_number": "352-708-3033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IELEVATE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-14",
"last_updated": "2023-07-14",
"certification_date": "2023-07-10",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "THUC",
"authorized_official_title_or_position": "APRN/FOUNDER",
"authorized_official_telephone_number": "407-928-2229",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "iElevate Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "iElevate Wellness",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.