ECHELON PREMIUM HEALTH LLC
NPI 1275133431
Registered Nurse - Community Health in Port Saint Lucie, FL

Active since October 27, 2020
4574 SW TABOR ST, PORT SAINT LUCIE, FL 34953(772) 626-1002 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Echelon Premium Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ECHELON PREMIUM HEALTH LLC (NPI 1275133431) is a healthcare organization registered as a community health in Port Saint Lucie, Florida and active in the NPI registry since October 2020. The organization lists Claudine Rowena George, Manager, as its authorized official.

NPPES Registry Identity

NPI1275133431
Entity TypeOrganization
Primary Taxonomy163WC1500X
Legal Business NameECHELON PREMIUM HEALTH LLC
Location Address4574 SW TABOR STPort Saint Lucie, FL 34953-6740
Mailing Address4574 Sw Tabor StPort Saint Lucie, FL 34953-6740 · (772) 626-1002
Organization SubpartNo
Authorized OfficialClaudine Rowena GeorgeManager · (772) 626-1002
Enumeration DateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
NPI 1275133431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
4574 SW TABOR ST, Port Saint Lucie, FL 34953

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
4574 SW TABOR ST
PORT ST LUCIE, FL 34953

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Echelon Premium Health LLC's NPI number?

The NPI number for Echelon Premium Health LLC is 1275133431. It was assigned to this organization in the NPPES registry on October 27, 2020.

Where is Echelon Premium Health LLC located?

Echelon Premium Health LLC is located at 4574 SW Tabor St, Port Saint Lucie, FL 34953. The listed phone number is (772) 626-1002.

What is Echelon Premium Health LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Echelon Premium Health LLC was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.