Treasure Coast Ketamine Wellness & IV Nutrition Center

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

TREASURE COAST KETAMINE WELLNESS & IV NUTRITION CENTER

Practice address

787 37TH St Ste E110
Vero Beach, FL 32960-7319

Phone

(772) 907-5917

Fax

(772) 907-5917

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Gregory Jarrell McCracken, CRNA

Title

Owner

Phone

(352) 262-8439

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1801408208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE E110",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607319",
            "telephone_number": "772-907-5917",
            "fax_number": "772-907-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE E110",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607319",
            "telephone_number": "772-907-5917",
            "fax_number": "772-907-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST KETAMINE WELLNESS & IV NUTRITION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JARRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-262-8439",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@treasurecoastketamine.com",
            "affiliation": "N",
            "endpointDescription": "hippa compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "777 37th St Ste B106",
            "city": "Vero Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329607301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Treasure Coast Homecare Specialists, LLC
• Treasure Coast Homecare, LLC
• Treasure Coast Homecare, LLC
• Treasure Coast Infectious Disease Consultants
• Treasure Coast Integrative Therapies
• Treasure Coast Medical Services, Inc.
• Treasure Coast Nurse Practitioners
• Treasure Coast Obstetrics and Gynecology PL
• Treasure Coast Opticians
• Treasure Coast Opticians

• Infusion Therapy Clinic/Center in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Infusion Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.