Active NPI
Blissful Wellness Integrative Medicine, LLC
- Integrative Medicine Physician
- Jacksonville, FL
National Provider Identifier
1922912674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- Legal business name
- BLISSFUL WELLNESS INTEGRATIVE MEDICINE, LLC
- Practice address
- 2065 Herschel St
Jacksonville, FL 32204-3817 - Phone
- (904) 208-4040
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elyssa Blissenbach, MD
- Title
- President
- Phone
- (904) 387-3933
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | NU | Primary |
Addresses
Primary practice location
2065 Herschel St
Jacksonville, FL 32204-3817
Mailing address
2065 Herschel St
Jacksonville, FL 32204-3817
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1881601714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1922912674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2065 HERSCHEL ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322043817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2065 HERSCHEL ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322043817",
"telephone_number": "904-208-4040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLISSFUL WELLNESS INTEGRATIVE MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "BLISSENBACH",
"authorized_official_first_name": "ELYSSA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-387-3933",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.