Bluewater Wellness, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BLUEWATER WELLNESS, LLC

Practice address

234 Chestnut St
Clermont, FL 34711-3020

Phone

(407) 347-7142

Fax

(407) 588-0854

NPI assigned

Oct 4, 2021

Organization subpart

No

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

Authorized official

Name

Jason B Meyer, APRNNPI 1336771823

Title

Managing Director

Phone

(407) 341-9935

Specialties & licenses 2

Addresses

Other names 1

• BlueWater Family Wellness 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

Locations

Practitioners 1

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

• Jason B Meyer, APRN

  • Family Nurse Practitioner
  • Clermont, FL
  • NPI 1336771823
  NPD Authorized official

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1831861269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 CHESTNUT ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113020",
            "telephone_number": "407-347-7142",
            "fax_number": "407-588-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CHESTNUT ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113020",
            "telephone_number": "407-347-7142",
            "fax_number": "407-588-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEWATER WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "407-341-9935",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BlueWater Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BlueWater Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Bleakney, MT-BC
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• Alyson Kay Bliss, LCSW
• Samantha J Block, APRN
• Blue Orchid Acupuncture and Traditional Herb Clinic LLC
• Jason Andrew Boardman, M.D
• Chelsey Boehm
• Mary Rose Boehm, MD
• James Michael Bogan, LCSW
• Daniel Lee Bogus, DDS

• Family Nurse Practitioner in Clermont, FL
• Providers in Clermont, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.