Wellness by the Sea LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

WELLNESS BY THE SEA LLC

Practice address

35998 Zion Church Rd Unit 1
Frankford, DE 19945-4501

Phone

(302) 278-0093

Fax

(302) 278-0096

NPI assigned

Sep 28, 2017

Organization subpart

No

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

Authorized official

Name

Kimberly Brasure, NP-C

Title

Provider

Phone

(302) 278-0093

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1972012367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31707 BRASURE RD",
            "city": "DAGSBORO",
            "state": "DE",
            "postal_code": "199394172",
            "telephone_number": "302-278-0093",
            "fax_number": "302-278-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35998 ZION CHURCH RD UNIT 1",
            "city": "FRANKFORD",
            "state": "DE",
            "postal_code": "199454501",
            "telephone_number": "302-278-0093",
            "fax_number": "302-278-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS BY THE SEA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "BRASURE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "302-278-0093",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Starr, RN
• Dawn Steele, COTA
• Jeffrey Allen Stevens Jr.
• Sussex NP
• Karen Tinus, COTA
• Wellness by the Sea Med Spa LLC
• Kaylin Willitts

• Nurse Practitioner in Frankford, DE
• Providers in Frankford, DE by specialty
• Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.