Organization Active NPI

Lemongrass Health & Wellness

  • Family Nurse Practitioner
  • Davie, FL
National Provider Identifier
1790500650
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LEMONGRASS HEALTH & WELLNESS
Practice address
14420 Bedford CT
Davie, FL 33325-6508
Phone
(954) 536-6821
NPI assigned
Nov 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Alain GuillaumeNPI 1023645835
Title
Owner
Phone
(954) 536-6821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

14420 Bedford CT
Davie, FL 33325-6508

Mailing address

14420 Bedford CT
Davie, FL 33325-6508
Phone (954) 536-6821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260507002448 FL Part B Supplier - Clinic/Group Practice 6204304264 Receives reassigned benefits from 1 practitioner
Practice locations: Davie, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1790500650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14420 BEDFORD CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333256508",
            "telephone_number": "954-536-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14420 BEDFORD CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333256508",
            "telephone_number": "954-536-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMONGRASS HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-16",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "GUILLAUME",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-536-6821"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.