FOOT BLISS WELLNESS LLC
NPI 1386570919
Nurse Practitioner - Primary Care in Brooklyn, NY

Active since June 22, 2026
820 FLATBUSH AVE, BROOKLYN, NY 11226(718) 772-9099 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Primary Care

About FOOT BLISS WELLNESS LLC

This page provides the complete NPI Profile along with additional information for Foot Bliss Wellness Llc, a provider established in Brooklyn, New York operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1386570919 assigned on June 2026. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated June 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Shirley May Nicholas (Nurse Practitioner)

NPI
1386570919 Verify this NPI
Provider Name
FOOT BLISS WELLNESS LLC
Entity Type
Organization
Location Address
820 FLATBUSH AVE BROOKLYN, NY 11226
Location Phone
(718) 772-9099
Mailing Address
820 FLATBUSH AVE BROOKLYN, NY 11226
Mailing Phone
(718) 772-9099
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2026
Last Update Date
06-22-2026
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A nurse practitioner (NP) like Foot Bliss Wellness Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHIRLEY MAY NICHOLAS

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(718) 772-9099

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Optometrist
820 FLATBUSH AVE
BROOKLYN, NY 11226
Dentist (General Practice)
820 FLATBUSH AVE
BROOKLYN, NY 11226
Dentist (General Practice)
820 FLATBUSH AVE
BROOKLYN, NY 11226
Clinic/Center (Health Service)
820 FLATBUSH AVE
BROOKLYN, NY 11226
Nurse Practitioner (Adult Health)
820 FLATBUSH AVE
BROOKLYN, NY 11226
Optometrist (Corneal and Contact Management)
820 FLATBUSH AVE
BROOKLYN, NY 11226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386570919, enumerated as an "organization" on June 22, 2026.

The provider is located at 820 FLATBUSH AVE BROOKLYN, NY 11226 and the phone number is (718) 772-9099.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.