Balance Women'S Virtual Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BALANCE WOMEN'S VIRTUAL WELLNESS LLC

Doing business as

Balance Wellness & Primary Care

Practice address

2621 Windguard Cir Ste 102
Wesley Chapel, FL 33544-7354

Phone

(813) 344-3948

Fax

(833) 518-1987

NPI assigned

Aug 15, 2022

Organization subpart

No

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

Authorized official

Name

Camelia A Acevedo, APRNNPI 1366083107

Title

Owner

Phone

(813) 344-3948

Specialties & licenses 1

Addresses

Other names 1

• Balance Wellness & Primary Care Doing business as

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25586/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Camelia A Acevedo, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Wesley Chapel, FL
  • NPI 1366083107
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1912635111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 WINDGUARD CIR STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447354",
            "telephone_number": "813-344-3948",
            "fax_number": "833-518-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 WINDGUARD CIR STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447354",
            "telephone_number": "813-344-3948",
            "fax_number": "833-518-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE WOMEN'S VIRTUAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "CAMELIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-344-3948",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balance Wellness & Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sheryl A Ballinger, D.C.
• Miranda Yvonne Balster, APRN
• Sahand Bamarni, MD
• Kristina Baranski

• Family Nurse Practitioner in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.