Active NPIOrganization

Elite Wellness

Nutritionist in Jamaica Plain, Massachusetts

NPI Number1568692135
Practice location
18 Hyde Park Ave, Suite 4, Jamaica Plain, MA 02130-4163
Fax
—
Last updated
July 17, 2009

Elite Wellness is a healthcare organization based in Jamaica Plain, MA. Elite Wellness practices in Jamaica Plain, MA. The NPI Number for Elite Wellness is 1568692135. The current practice location address for Elite Wellness is 18 Hyde Park Ave, Suite 4, Jamaica Plain, MA 02130-4163 and can be reached out via phone at 617-522-4397.

Provider Profile Details

NPI Number
1568692135
Provider Name
Elite Wellness
Provider Entity Type
Organization
Address
18 Hyde Park Ave, Suite 4, Jamaica Plain, MA 02130-4163
Phone Number
617-522-4397
Primary Taxonomy
Nutritionist · 133N00000X
Organization Subpart
No
Authorized Official
Mishell Ronica Brookins · President · 617-522-4397
Other Names
Elite Wellness (Doing Business As)
Provider Enumeration Date
July 17, 2009
Last Update Date
July 17, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Hyde Park Ave
Suite 4
Jamaica Plain, MA 02130-4163
Zip
02130-4163
Phone Number
617-522-4397
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
18 Hyde Park Ave
Suite 4
Jamaica Plain, MA 02130-4163
City
Jamaica Plain
State
MA
Zip
02130-4163
Phone Number
617-522-4397

License Information

Taxonomy
Nutritionist · 133N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elite Wellness?

The NPI number of Elite Wellness is 1568692135. It was assigned on July 17, 2009 and is currently active in the NPPES registry.

What is the specialty of Elite Wellness?

Elite Wellness is registered under the primary taxonomy Nutritionist (code 133N00000X).

Where does Elite Wellness practice?

The practice location is 18 Hyde Park Ave, Suite 4, Jamaica Plain, MA 02130-4163. The office can be reached at 617-522-4397 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568692135 directly on the NPPES registry website.

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