NPIMap

Organization Active NPI

Creative Wellness LLC

Doing business as Better Balance

  • Specialist
  • Jupiter, FL
National Provider Identifier
1871546895
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CREATIVE WELLNESS LLC
Doing business as
Better Balance
Practice address
18947 125TH Ave N
Jupiter, FL 33478-3792
Phone
(561) 427-7200
Fax
(561) 427-7203
NPI assigned
May 19, 2006
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mrs. Lisa Dianne Corn
Title
President
Phone
(561) 427-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

18947 125TH Ave N
Jupiter, FL 33478-3792

Mailing address

18947 125TH Ave N
Jupiter, FL 33478-3792
Phone (561) 427-7200

Other identifiers 2

IdentifierTypeStateIssuer
Y915KOtherFLBLUE CROSS BLUE SHIELD FL
DD4181OtherFLRAILROAD MEDICARE

Other names 1

  • Better Balance Doing business as

National Provider Directory

National Provider Directory

Locations

611 SW Federal Hwy
Ste G
Stuart, FL 34994
Phone (772) 419-8189

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1871546895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18947 125TH AVE N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334783792",
            "telephone_number": "561-427-7200",
            "fax_number": "561-427-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 125TH AVE N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334783792",
            "telephone_number": "561-427-7200",
            "fax_number": "561-427-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "CORN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-427-7200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "Y915K",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD4181",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Better Balance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.