Organization Active NPI

Advanced Wellness Solutions LLC

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1972980258
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11334 Issued in FL
Legal business name
ADVANCED WELLNESS SOLUTIONS LLC
Practice address
729 SW Federal Hwy Ste 102
Stuart, FL 34994-2913
Phone
(855) 509-5400
Fax
(321) 373-2062
NPI assigned
May 6, 2015
Last updated
Nov 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Dr. Danielle Christine Hurd, DCNPI 1619372661
Title
Clinic Director
Phone
(855) 509-5400

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11334 FL Primary

Addresses

Primary practice location

729 SW Federal Hwy Ste 102
Stuart, FL 34994-2913

Mailing address

729 SW Federal Hwy Ste 102
Stuart, FL 34994-2913
Phone (855) 509-5400

Other practice location 1

5759 SE Federal Hwy
Stuart, FL 34997-8545
Phone (855) 509-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150713000374 FL Part B Supplier - Clinic/Group Practice 5092027557 Receives reassigned benefits from 1 practitioner
Practice locations: Stuart, FL

National Provider Directory

National Provider Directory

Locations

4965 S US Highway 1
Fort Pierce, FL 34982
Phone (321) 373-1234

20 E Melbourne Ave
#107
Melbourne, FL 32901
Phone (321) 373-1234

20 E Melbourne Ave
Ste 107
Melbourne, FL 32901

5759 SE Federal Hwy
Stuart, FL 34997
Phone (772) 220-9565

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": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1972980258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 SW FEDERAL HWY STE 102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942913",
            "telephone_number": "855-509-5400",
            "fax_number": "321-373-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 SW FEDERAL HWY STE 102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942913",
            "telephone_number": "855-509-5400",
            "fax_number": "321-373-2062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5759 SE Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349978545",
            "country_code": "US",
            "telephone_number": "855-509-5400",
            "fax_number": "321-373-2062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED WELLNESS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "HURD",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "855-509-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.