Xiii Moons Apothecary & Functional Wellness Center

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

XIII MOONS APOTHECARY & FUNCTIONAL WELLNESS CENTER

Practice address

6050 Moncrief Rd Ste 8
Jacksonville, FL 32209-2564

Phone

(904) 551-0110

NPI assigned

Jul 14, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Kenya BonnerNPI 1619789484

Title

Founder & Ceo

Phone

(904) 551-0110

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kenya Bonner, BCHHP FNP

  • Nutrition Education Nutritionist
  • Jacksonville, FL
  • NPI 1619789484

  Nutrition, Education

  NPD (past) Authorized official

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1780503516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 MONCRIEF RD STE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322092564",
            "telephone_number": "904-551-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 MONCRIEF RD STE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322092564",
            "telephone_number": "904-551-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIII MOONS APOTHECARY & FUNCTIONAL WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "904-551-0110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilva Xhemali, PHARMD
• Chen Xia, MS, CCC-SLP
• Xiaxiang Daniels (Hearts OF Gold)
• Chonglun Xie, MD
• Guozhen Xie
• Bao Hnia Xiong
• Xpress Mobile Labs and Services
• XR Medical Transportation
• Xtra Mile, LLC
• Randhir Sagar Yadav, MD

• Nutrition Education Nutritionist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nutrition Education Nutritionist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.