NPIMap

Organization Active NPI

Treasure Coast Medical and Holistic Care, LLC

  • Primary Care Clinic/Center
  • Port St Lucie, FL
National Provider Identifier
1831477553
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
363L00000X Issued in FL
Legal business name
TREASURE COAST MEDICAL AND HOLISTIC CARE, LLC
Practice address
1255 SW Curry Street
Port St Lucie, FL 34983-2509
Phone
(772) 418-4036
NPI assigned
Jul 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Authorized official

Name
Ms. Luz Schelmety-Henriquez, ARNP
Title
Arnp/Owner
Phone
(772) 418-4036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 363L00000X FL Primary

Addresses

Primary practice location

1255 SW Curry Street
Port St Lucie, FL 34983-2509

Mailing address

1255 SW Curry Street
Port St Lucie, FL 34983-2509
Phone (772) 418-4036

Other identifiers 1

IdentifierTypeStateIssuer
306428000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1831477553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 SW CURRY STREET",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832509",
            "telephone_number": "772-418-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 SW CURRY STREET",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832509",
            "telephone_number": "772-418-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST MEDICAL AND HOLISTIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "SCHELMETY-HENRIQUEZ",
        "authorized_official_first_name": "LUZ",
        "authorized_official_title_or_position": "ARNP/OWNER",
        "authorized_official_telephone_number": "772-418-4036",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "363L00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306428000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.