Organization Active NPI

Prosper Health & Wellness, LLC.

  • Primary Care Clinic/Center
  • Wellington, FL
National Provider Identifier
1952186041
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PROSPER HEALTH & WELLNESS, LLC.
Practice address
1400 Corporate Center Way Ste 120
Wellington, FL 33414-2210
Phone
(561) 850-4308
Fax
(561) 925-5808
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Deanna Goulet, APRNNPI 1013583277
Title
Nurse Practitioner
Phone
(772) 801-9548

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 Primary

Addresses

Primary practice location

1400 Corporate Center Way Ste 120
Wellington, FL 33414-2210

Mailing address

13129 68TH St N
West Palm Beach, FL 33412-1932
Phone (177) 280-1954

National Provider Directory

National Provider Directory

Locations

1400 Corporate Center Way
Ste 120
Wellington, FL 33414
Phone (561) 850-4308

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": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1952186041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13129 68TH ST N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121932",
            "telephone_number": "177-280-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CORPORATE CENTER WAY STE 120",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334142210",
            "telephone_number": "561-850-4308",
            "fax_number": "561-925-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER HEALTH & WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "GOULET",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "772-801-9548",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.