Organization Active NPI

Denali Health & Wellness

  • Primary Care Clinic/Center
  • Port Saint Lucie, FL
National Provider Identifier
1972268886
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Nov 4, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL denalihlthwellness@gmail.com Direct

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.