Organization Active NPI

Willful Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Palmetto, FL
National Provider Identifier
1902724545
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WILLFUL WELLNESS
Practice address
4908 Everest Run
#302
Palmetto, FL 34221
Phone
(941) 580-0213
Fax
(941) 827-8971
NPI assigned
Jul 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Tanasia Thomas, APRNNPI 1013647452
Title
Provider
Phone
(941) 580-2890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4908 Everest Run
#302
Palmetto, FL 34221

Mailing address

7210 Manatee Ave W # 1011
Bradenton, FL 34209-3439
Phone (941) 580-0213

National Provider Directory

National Provider Directory

Locations

7210 Manatee Ave W
Bradenton, FL 34209
Phone (904) 371-4234

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1902724545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 MANATEE AVE W # 1011",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093439",
            "telephone_number": "941-580-0213",
            "fax_number": "941-827-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 EVEREST RUN",
            "address_2": "#302",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "34221",
            "telephone_number": "941-580-0213",
            "fax_number": "941-827-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLFUL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TANASIA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "941-580-2890",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.