Active NPI
Well Point Health
- Family Nurse Practitioner
- Pace, FL
National Provider Identifier
1821899196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- WELL POINT HEALTH
- Practice address
- 3661 Hawks Landing Cir
Pace, FL 32571-9654 - Phone
- (904) 655-9223
- NPI assigned
- Mar 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John-Mark Miller Moore, BCBA
- Title
- President
- Phone
- (904) 655-9223
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
3661 Hawks Landing Cir
Pace, FL 32571-9654
Mailing address
3661 Hawks Landing Cir
Pace, FL 32571-9654
Phone (904) 655-9223
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Pace, FL
- NPI 1750030730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743465600000",
"number": "1821899196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3661 HAWKS LANDING CIR",
"city": "PACE",
"state": "FL",
"postal_code": "325719654",
"telephone_number": "904-655-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3661 HAWKS LANDING CIR",
"city": "PACE",
"state": "FL",
"postal_code": "325719654",
"telephone_number": "904-655-9223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL POINT HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-22",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JOHN-MARK",
"authorized_official_middle_name": "MILLER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-655-9223",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.