Eb-Wellness PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND 5679 Issued in FL

Legal business name

EB-WELLNESS PLLC

Practice address

13720 Old Saint Augustine Rd
Ste 8-260
Jacksonville, FL 32258-7414

Phone

(904) 513-8892

NPI assigned

Apr 25, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Elaine Ann Beville, MS, RD, LDNNPI 1437503489

Title

Authorized Member

Phone

(904) 513-8892

Specialties & licenses 4

Addresses

Other names 1

• EB-Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elaine Beville, MS, RD, LDN

  • Registered Dietitian
  • Jacksonville, FL
  • NPI 1437503489

  Nutritionist

  NPD (past) Authorized official

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1992150296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13720 OLD SAINT AUGUSTINE RD",
            "address_2": "STE 8-260",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587414",
            "telephone_number": "904-513-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 OLD SAINT AUGUSTINE RD",
            "address_2": "STE 8-260",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587414",
            "telephone_number": "904-513-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EB-WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "BEVILLE",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "904-513-8892",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND 5679",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "FL",
            "license": "ND 5679",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 5679",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "FL",
            "license": "ND 5679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EB-Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Eaton
• Kelly A. Eaton, AU.D.
• Ishmael Eaves Farra, MA
• Hewell Eaves, OD
• Eaw Psychology LLC
• Kevin Ebanks
• McKenzie Elizabeth Ebanks
• Kari E Ebeltoft, ARNP, FNP-BC, DNP
• Laura Anne Ebener, PA-C
• Robert Vern Ebener, D.O.

• Registered Dietitian in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.