Organization Active NPI

Mind Medical Wellness Care LLC

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1861301855
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MIND MEDICAL WELLNESS CARE LLC
Practice address
2522 Capital Cir NE Ste 6
Tallahassee, FL 32308-4110
Phone
(754) 581-7994
NPI assigned
Sep 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Marine Maria Quives, NURSE PRACTITIONER
Title
Manager
Phone
(754) 581-7994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2522 Capital Cir NE Ste 6
Tallahassee, FL 32308-4110

Mailing address

1451 S 66TH Ave
Hollywood, FL 33023-2101
Phone (754) 581-7994

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1861301855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 S 66TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330232101",
            "telephone_number": "754-581-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 CAPITAL CIR NE STE 6",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084110",
            "telephone_number": "754-581-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MEDICAL WELLNESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "QUIVES",
        "authorized_official_first_name": "MARINE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "754-581-7994",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.