Bodywerks LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BODYWERKS LLC

Practice address

1409 Kingsley Ave Ste 8
Orange Park, FL 32073-4553

Phone

(904) 600-4405

NPI assigned

Aug 4, 2023

Organization subpart

No

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

Authorized official

Name

Nicole Hill, APRNNPI 1235716697

Title

MGR

Phone

(904) 600-4405

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nicole Hill, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange Park, FL
  • NPI 1235716697
  NPD Authorized official

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1790467124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 NORTHGLEN CIR",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320686580",
            "telephone_number": "904-600-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE STE 8",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734553",
            "telephone_number": "904-600-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWERKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "904-600-4405",
        "authorized_official_credential": "APRN"
    },
    "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": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.