Endevawell LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ENDEVAWELL LLC

Practice address

155 Fountains Way Ste 6
St Johns, FL 32259-1144

Phone

(904) 342-5455

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 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

Robert T. Hardman, DCNPI 1174085559

Title

Owner/Ceo

Phone

(904) 342-5455

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Trevor Hardman

  • Chiropractor
  • Saint Johns, FL
  • NPI 1174085559
  NPD (past) Authorized official
• Gabrielle Shaw Hardman, DC

  • Chiropractor
  • Saint Johns, FL
  • NPI 1770146318
  NPD (past)

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1871497107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 FOUNTAINS WAY STE 6",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322591144",
            "telephone_number": "904-342-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 FOUNTAINS WAY STE 6",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322591144",
            "telephone_number": "904-342-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEVAWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "HARDMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "904-342-5455",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.