Active NPI
Denali Health & Wellness
- Primary Care Clinic/Center
- Port Saint Lucie, FL
National Provider Identifier
1972268886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- DENALI HEALTH & WELLNESS
- Practice address
- 185 SW Bedford Rd
Port Saint Lucie, FL 34953-6937 - Phone
- (772) 607-0127
- NPI assigned
- Nov 4, 2021
- 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
- Mrs. Macresia A Braziel, APRN
- Title
- Owner/Aprn
- Phone
- (772) 607-0127
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
185 SW Bedford Rd
Port Saint Lucie, FL 34953-6937
Mailing address
10380 SW Village Center Dr Ste 223
Port Saint Lucie, FL 34987-1931
Phone (772) 607-0127
Other names 1
- Denali Health & Wellness
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | denalihlthwellness@gmail.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635984000000",
"number": "1972268886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10380 SW VILLAGE CENTER DR STE 223",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349871931",
"telephone_number": "772-607-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 SW BEDFORD RD",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349536937",
"telephone_number": "772-607-0127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENALI HEALTH & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-04",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A",
"authorized_official_last_name": "BRAZIEL",
"authorized_official_first_name": "MACRESIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/APRN",
"authorized_official_telephone_number": "772-607-0127",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "denalihlthwellness@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "185 SW Bedford Rd",
"city": "Port Saint Lucie",
"state": "FL",
"country_code": "US",
"postal_code": "349536937",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Denali Health & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.