Organization Active NPI

Ielevate Wellness LLC

  • Family Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1760161954
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Jul 14, 2023

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.