SEABROOK ISLAND WELLNESS INCORPORATED (NPI# 1780081273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780081273 |
| Entity Type | Organization |
| Organization Name | SEABROOK ISLAND WELLNESS INCORPORATED |
| Other Organization Name | STILL WATERS STUDIO |
| Practice Address |
3020 S Florida Ave Suite 207 Lakeland FL 33803-4053 |
| Practice Telephone | 8639403828 |
| Mailing Telephone | 8639403828 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | MS. MARY E WHITE KURYLA (PROPRIETOR) |
| Authorized Official Telephone | 8639403828 |
| Is Organization Subpart | Y |
| Parent Organization Name | SEABROOK ISLAND WELLNESS INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | M73933 | FL | Agencies |
| N | 251S00000X | Community/Behavioral Health | M73933 | FL | Agencies |
| N | 305R00000X | Preferred Provider Organization | M73933 | FL | Managed Care Organizations |
| Y | 302F00000X | Exclusive Provider Organization | M73933 | FL | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Still Waters Studio | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679829840 | Seabrook Island Wellness Incorporated | Reflexologist | 164 Market St, Suite 292, Charleston, SC 29401-6948 | 2012-07-25 |
| Street Address |
3020 S FLORIDA AVE SUITE 207 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-4053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568670644 | Joan Miller | Physical Therapist | 3020 S Florida Ave, Abbey Business Park, Ste 321-b, Lakeland, FL 33803-4053 | 2007-05-20 |
| 1972071181 | Shannon Albritton | Counselor | 3020 S Florida Ave, Lakeland, FL 33803 | 2018-11-06 |
| 1023496197 | Amanda Gillespie | Social Worker | 3020 S Florida Ave, Lakeland, FL 33803-4053 | 2015-05-11 |
| 1619389749 | Alicia Gomes | Counselor | 3020 S Florida Ave, Lakeland, FL 33803-4053 | 2014-05-23 |
| 1659698363 | Katherine Steadman Platt | Counselor | 3020 S Florida Ave, Lakeland, FL 33803-4053 | 2010-04-21 |
| 1639329634 | Penny Lynne Carey-stratton | Counselor | 3020 S Florida Ave, Lakeland, FL 33803-4053 | 2008-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932332814 | Lakeland Community Health and Rehabilitation | Exclusive Provider Organization | 200 Parkview Pl, Suite 201, Lakeland, FL 33805-4548 | 2009-08-26 |
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| 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.