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OHANA FAMILY PRACTICE LLC
NPI 1366210973
Family Medicine in Melbourne, FL

Active since December 13, 2023CLIA 10D2294033 · Waiver
8255 N WICKHAM RD STE 100, MELBOURNE, FL 32940(321) 473-6292(321) 600-4246 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ohana Family Practice Llc NPPES

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

OHANA FAMILY PRACTICE LLC (NPI 1366210973) is a healthcare organization registered as a family medicine in Melbourne, Florida and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Katie Lou Shouppe, Owner, as its authorized official.

NPPES Registry Identity

NPI1366210973
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOHANA FAMILY PRACTICE LLC
Location Address8255 N WICKHAM RD STE 100Melbourne, FL 32940-8202
Mailing Address8255 N Wickham Rd Ste 100Melbourne, FL 32940-8202 · (321) 473-6292
Phone(321) 473-6292
Fax(321) 600-4246
Organization SubpartNo
Authorized OfficialKatie Lou ShouppeOwner · (321) 473-6292
Enumeration DateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
✔ NPI 1366210973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8255 N WICKHAM RD STE 100, Melbourne, FL 32940
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2294033

Ohana Family Practice LLC · Melbourne, FL
Active · expires Nov 16, 2027
CLIA Number10D2294033
Laboratory TypePractitioner Other
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorKatie L. Shoupee
Laboratory Phone(321) 473-6292
Laboratory LocationOhana Family Practice LLC8255 N Wickham Road Suite 100, Melbourne, FL 32940
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ohana Family Practice LLC's NPI number?

The NPI number for Ohana Family Practice LLC is 1366210973. It was assigned to this organization in the NPPES registry on December 13, 2023.

Where is Ohana Family Practice LLC located?

Ohana Family Practice LLC is located at 8255 N Wickham Rd Ste 100, Melbourne, FL 32940. The listed phone number is (321) 473-6292.

What is Ohana Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ohana Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2294033) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ohana Family Practice LLC was last updated on December 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.