INNOVATIVE HEALTHY AGING, LLC
NPI 1669158929
Clinic/Center in Tierra Verde, FL

Active since June 22, 2023
1120 PINELLAS BAYWAY S STE 105, TIERRA VERDE, FL 33715(727) 282-9724(727) 317-0043 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Innovative Healthy Aging, Llc NPPES

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

INNOVATIVE HEALTHY AGING, LLC (NPI 1669158929) is a healthcare organization registered as a clinic/center in Tierra Verde, Florida and active in the NPI registry since June 2023. The organization lists Teresa Annette Nesbit, Nurse Practioner, as its authorized official.

NPPES Registry Identity

NPI1669158929
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameINNOVATIVE HEALTHY AGING, LLC
Location Address1120 PINELLAS BAYWAY S STE 105Tierra Verde, FL 33715-1500
Mailing Address841 2nd Ave STierra Verde, FL 33715-2249 · (407) 421-6600 · Fax (727) 317-0043
Fax(727) 317-0043
Organization SubpartNo
Authorized OfficialTeresa Annette NesbitNurse Practioner · (727) 282-9724
Enumeration DateJune 22, 2023
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
NPI 1669158929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1120 PINELLAS BAYWAY S STE 105, Tierra Verde, FL 33715

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 Innovative Healthy Aging, LLC's NPI number?

The NPI number for Innovative Healthy Aging, LLC is 1669158929. It was assigned to this organization in the NPPES registry on June 22, 2023.

Where is Innovative Healthy Aging, LLC located?

Innovative Healthy Aging, LLC is located at 1120 Pinellas Bayway S Ste 105, Tierra Verde, FL 33715. The listed phone number is (727) 282-9724.

What is Innovative Healthy Aging, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Innovative Healthy Aging, LLC was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.