AMETHYST WELLNESS LLC (NPI# 1376900019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376900019 |
| Entity Type | Organization |
| Organization Name | AMETHYST WELLNESS LLC |
| Practice Address |
145 Cypress Point Pkwy Suite 208b Palm Coast FL 32164-8426 |
| Mailing Address |
51 Renworth Ln Palm Coast FL 32164-6627 |
| Practice Telephone | 3865037950 |
| Mailing Telephone | 3865037950 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-02-08 |
| Authorized Official Name | AMY COOPERSMITH (OWNER) |
| Authorized Official Telephone | 3865037950 |
| Authorized Official Credential | DNP/ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
9242220 | FL | Ambulatory Health Care Facilities |
| Street Address |
145 CYPRESS POINT PKWY SUITE 208B |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-8426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194770503 | Theresa M. Lessard | Physician Assistant | 145 Cypress Point Pkwy, Suite 105, Palm Coast, FL 32164-8426 | 2006-05-23 |
| 1225564693 | Heather Garofalo | Nurse Practitioner | 145 Cypress Point Pkwy, Suite105, Palm Coast, FL 32164-8426 | 2017-05-04 |
| 1316303670 | Uzziel Jivcu | Nurse Practitioner | 145 Cypress Point Pkwy, Suite 105, Palm Coast, FL 32164-8426 | 2016-01-01 |
| 1912394537 | Alliance Foundation of Florida-indigo Manor, LLC | Durable Medical Equipment & Medical Supplies | 145 Cypress Point Pkwy, Suite 208, Palm Coast, FL 32164-8426 | 2015-04-21 |
| 1275939142 | Amos Melvin Jr. | Hearing Instrument Specialist | 145 Cypress Point Pkwy, Suite 205, Palm Coast, FL 32164-8426 | 2014-11-05 |
| 1306249206 | All About Hearing Aids, Inc. | Hearing Instrument Specialist | 145 Cypress Point Pkwy, Suite 205, Palm Coast, FL 32164-8426 | 2014-10-06 |
| 1720488059 | Deborah's Nursing Services-volusia | Home Health | 145 Cypress Point Pkwy, Suite 208, Palm Coast, FL 32164-8426 | 2014-08-22 |
| 1164735155 | Physical Therapy & Wellness In Motion, Inc | Clinic/Center | 145 Cypress Point Pkwy, Suite 104, Palm Coast, FL 32164-8426 | 2010-07-19 |
| 1033422100 | Atlantic Nutrition Centers, LLC | Chiropractor | 145 Cypress Point Pkwy, Suite 104, Palm Coast, FL 32164-8426 | 2010-07-19 |
| 1063600310 | John G. Symeonides | Family Medicine | 145 Cypress Point Pkwy, Unit 105, Palm Coast, FL 32164-8426 | 2007-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1558530600 | Memorial Hospital Flagler Inc. | Clinic/Center | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2008-02-22 |
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| 1629699889 | Comprehensive Cardiovascular Institute, Pllc | Clinic/Center | 17 Davis Blvd Ste 313, Tampa, FL 33606-3438 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32164 |
Please comment or provide details below to improve the information on AMETHYST WELLNESS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.