Organization Active NPI

Transformative Wellness, LLC

  • Primary Care Clinic/Center
  • Ormond Beach, FL
National Provider Identifier
1932815164
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TRANSFORMATIVE WELLNESS, LLC
Practice address
208 Booth Rd Ste B
Ormond Beach, FL 32174-5718
Phone
(386) 280-4877
Fax
(386) 414-7227
NPI assigned
Jan 31, 2023
Last updated
Mar 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Mrs. Casie McCallister, APRNNPI 1346701406
Title
Aprn
Phone
(386) 280-4877

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

208 Booth Rd Ste B
Ormond Beach, FL 32174-5718

Mailing address

208 Booth Rd Ste B
Ormond Beach, FL 32174-5718
Phone (386) 280-4877

National Provider Directory

National Provider Directory

Locations

208 Booth Rd
Ste B
Ormond Beach, FL 32174
Phone (386) 280-4877

454 S Yonge St
Ste 3A
Ormond Beach, FL 32174
Phone (386) 280-4877

533 N Nova Rd
Ste 116
Ormond Beach, FL 32174
Phone (386) 260-2653

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.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1932815164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BOOTH RD STE B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745718",
            "telephone_number": "386-280-4877",
            "fax_number": "386-414-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BOOTH RD STE B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745718",
            "telephone_number": "386-280-4877",
            "fax_number": "386-414-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIVE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "MCCALLISTER",
        "authorized_official_first_name": "CASIE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "386-280-4877",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.