BEYOND WELLNESS PLLC NPI 1194575472

NPI Information

  • NPI: 1194575472
  • Provider Name: BEYOND WELLNESS PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 8647 BAYPINE RD STE 204
    JACKSONVILLE, FL
    ZIP 32256
  • Phone: (833) 759-8720

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NPI Details

BEYOND WELLNESS PLLC is a primary care clinic center in Jacksonville, FL. BEYOND WELLNESS PLLC NPI is 1194575472. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8647 BAYPINE RD STE 204
JACKSONVILLE, FL
ZIP 32256-544
Phone: (833) 759-8720
Fax: (833) 428-7414

The provider's authorized official is Lisa Anderson .
The authorized official title is President and has the following contact phone number (833) 759-8720.

The enumeration date for this NPI number is 3/27/2024 and was last updated on 1/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystNo
21041C0700XSocial WorkerClinicalNo
3133NN1002XNutritionistNutrition, EducationNo
4133V00000XDietitian, RegisteredNo
5207Q00000XFamily MedicineNo
6261QM1300XClinic/CenterMulti-SpecialtyNo
7261QP2300XClinic/CenterPrimary CareYes
8363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
9363LP2300XNurse PractitionerPrimary CareNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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