MEADOWS WELLNESS CLINIC LLC
NPI 1528539855
Nurse Practitioner - Primary Care in Mary Esther, FL

Active since December 16, 2018CLIA 10D2240465 · Waiver
151 MARY ESTHER BLVD STE 403A, MARY ESTHER, FL 32569(850) 226-8117 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Meadows Wellness Clinic Llc NPPES

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

MEADOWS WELLNESS CLINIC LLC (NPI 1528539855) is a healthcare organization registered as a primary care in Mary Esther, Florida and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Angela Meadows, Aprn, as its authorized official.

NPPES Registry Identity

NPI1528539855
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameMEADOWS WELLNESS CLINIC LLC
Location Address151 MARY ESTHER BLVD STE 403AMary Esther, FL 32569-1975
Mailing Address151 Mary Esther Blvd Ste 403aMary Esther, FL 32569-1975 · (850) 226-8117
Organization SubpartNo
Authorized OfficialAngela MeadowsAprn · (850) 226-8117
Enumeration DateDecember 16, 2018
NPI 1528539855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
151 MARY ESTHER BLVD STE 403A, Mary Esther, FL 32569

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

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 10D2240465

Meadows Wellness Clinic · Mary Esther, FL
Active · expires Oct 19, 2027
CLIA Number10D2240465
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorAngela Meadows
Laboratory Phone(850) 226-8117
Laboratory LocationMeadows Wellness Clinic151 Mary Esther Blvd Suite 403A, Mary Esther, FL 32569
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 (Family)
151 MARY ESTHER BLVD STE 403A
MARY ESTHER, FL 32569

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 Meadows Wellness Clinic LLC's NPI number?

The NPI number for Meadows Wellness Clinic LLC is 1528539855. It was assigned to this organization in the NPPES registry on December 16, 2018.

Where is Meadows Wellness Clinic LLC located?

Meadows Wellness Clinic LLC is located at 151 Mary Esther Blvd Ste 403A, Mary Esther, FL 32569. The listed phone number is (850) 226-8117.

What is Meadows Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Meadows Wellness Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2240465) is associated with this NPI, valid through October 19, 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 Meadows Wellness Clinic LLC was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.