Wellness and Hydration Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WELLNESS AND HYDRATION CLINIC, LLC

Practice address

580 Lexington Green LN
Sanford, FL 32771-1026

Phone

(931) 510-7783

NPI assigned

Jan 21, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Bianca Carroll, NPNPI 1649658030

Title

Owner / Ceo

Phone

(931) 510-7783

Specialties & licenses 2

Addresses

Other names 1

• NEWGEN DIRECT PRIMARY CARE Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Bianca Carroll, NP

  • Family Nurse Practitioner
  • Sanford, FL
  • NPI 1649658030
  NPD Authorized official

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1831789015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 LEXINGTON GREEN LN",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711026",
            "telephone_number": "407-904-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 LEXINGTON GREEN LN",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711026",
            "telephone_number": "931-510-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AND HYDRATION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "931-510-7783",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWGEN DIRECT PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• We Matter Mental Health Services LLC
• Andrew Wayne Webb Jr., RRT, CPFT
• Tyler Weed, DPT, PT
• Dana Weiss
• Abigail Elizabeth Weisse, MD
• Oletha G Wellon-Dames
• Cheryl Wells, PTA
• Kendra Wells
• Rachel Wernecke
• Karen Christopher West, ARNP

• Primary Care Clinic/Center in Sanford, FL
• Providers in Sanford, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.