Wellness Health Providers,Apn.House Calls,LLC.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP1473752 Issued in FL

Legal business name

WELLNESS HEALTH PROVIDERS,APN.HOUSE CALLS,LLC.

Practice address

6262 SE 121St PL
Belleview, FL 34420-5215

Phone

(352) 245-2288

Fax

(800) 385-1347

NPI assigned

Apr 30, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Gloria A Pena, ARNPNPI 1437358496

Title

MGR

Phone

(352) 245-2288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Gloria Ann Pena, ARNP

  • Nurse Practitioner
  • Belleview, FL
  • NPI 1437358496
  Medicare reassignment NPD Authorized official
• Carlos Manuel Lopez, M.D

  • Internal Medicine Physician
  • Ocala, FL
  • NPI 1669404893
  Medicare reassignment NPD

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1912317843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 SE 121ST PL",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344205215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 SE 121ST PL",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344205215",
            "telephone_number": "352-245-2288",
            "fax_number": "800-385-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS HEALTH PROVIDERS,APN.HOUSE CALLS,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "352-245-2288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1473752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Latisha Terrell Waters
• Janisse Waleska Watkins, AGNP-C
• Sarah Elizabeth Sombat Watt, LMHC
• Cara A Weber, D.P.T.
• Tessie Nadine West, OTA
• Devin Wilkes
• Caremma Erica Williams
• Trang Williams, DOULA
• Laranda Wilson

• Nurse Practitioner in Belleview, FL
• Providers in Belleview, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.