Terra Blue Wellness and Coaching

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TERRA BLUE WELLNESS AND COACHING

Practice address

2643 Leewood Blvd
Melbourne, FL 32935-2839

Phone

(321) 312-9326

NPI assigned

Aug 17, 2026

Last updated

Aug 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chrystal Walls, APRN

Title

Owner

Phone

(321) 312-9326

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1851206668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 LEEWOOD BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352839",
            "telephone_number": "321-312-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 LEEWOOD BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352839",
            "telephone_number": "321-312-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA BLUE WELLNESS AND COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-312-9326",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "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": []
}

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• Testosterone & Co

• Family Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, 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 17, 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.