Oceanside Health and Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

OCEANSIDE HEALTH AND WELLNESS LLC

Practice address

8116 Amalfi Cir
Fort Pierce, FL 34951-4400

Phone

(304) 415-5783

NPI assigned

Jun 24, 2022

Last updated

Jun 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jesse Lee Mace, APRNNPI 1275975237

Title

Owner/Provider

Phone

(304) 415-5783

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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.

• Jesse Lee Mace, FNP-C

  • Family Nurse Practitioner
  • Vero Beach, FL
  • NPI 1275975237
  Medicare reassignment Care Compare group NPD Authorized official
• Kirstin Nicole Huffman-Mace, PA-C

  • Medical Physician Assistant
  • Vero Beach, FL
  • NPI 1134433311
  Medicare reassignment Care Compare group
• Natarsha Hall, APRN

  • Family Nurse Practitioner
  • Stuart, FL
  • NPI 1285377317
  Medicare reassignment NPD
• Charissa N Wright, APRN

  • Family Nurse Practitioner
  • Vero Beach, FL
  • NPI 1679219620
  Medicare reassignment NPD

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1982336327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 AMALFI CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349514400",
            "telephone_number": "304-415-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 AMALFI CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349514400",
            "telephone_number": "304-415-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "MACE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "304-415-5783",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://provider.kareo.com/iesse-mace",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic EMR Transfer",
            "address_1": "8116 Amalfi Cir",
            "city": "Fort Pierce",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349514400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Martha Ann Oates
• OB Hospitalist Group LLC
• OB Hospitalist Group LLC
• Ocean Chiropractic & Health Center, Inc.
• Ocean Side Pharmacy
• Oceanside Luxury Care, LLC
• Lauren Leigh Odell, LMFT
• Herbo Odelus
• Ashley Odom
• Oludare Ogunsola, D.O.

• Family Nurse Practitioner in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.