Bluewater Chiropractic Wellness Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH9247 Issued in FL

Legal business name

BLUEWATER CHIROPRACTIC WELLNESS CENTER LLC

Doing business as

Serenity Health Chiropractic

Practice address

60 2ND St Unit C-7
Shalimar, FL 32579-1769

Phone

(850) 613-4125

Fax

(850) 613-4148

NPI assigned

Jan 16, 2009

Last updated

Jun 13, 2023By 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

Dr. April W Lee, D.C.NPI 1720072341

Title

Owner

Phone

(850) 613-4125

Specialties & licenses 1

Addresses

Other names 1

• Serenity Health Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• April W Lee, D.C.

  • Chiropractor
  • Shalimar, FL
  • NPI 1720072341
  Medicare reassignment Care Compare group NPD Authorized official
• Bambi R Denais, D.C.

  • Pediatric Chiropractor
  • Niceville, FL
  • NPI 1457683245
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1992942692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 2ND ST UNIT C-7",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791769",
            "telephone_number": "850-613-4125",
            "fax_number": "850-613-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 2ND ST UNIT C-7",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791769",
            "telephone_number": "850-613-4125",
            "fax_number": "850-613-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEWATER CHIROPRACTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-613-4125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH9247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon J Bartels-Wheeless, NCSP
• Amanda Bellis, LMHC
• Beyond Expectations
• Beyond Expectations Inc.
• Julie Kristine Bloodworth, M.S.
• Rendi Bonner, FNP-C
• BRD Wellness PLLC (Serenity Health Chiropractic)
• Renae Morvlee Jodian Brown Eccleston
• Larry Brown II
• Megan S Brown

• Clinic/Center in Shalimar, FL
• Providers in Shalimar, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.