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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

XIII MOONS APOTHECARY & FUNCTIONAL WELLNESS CENTER
NPI 1780503516
Nutritionist - Nutrition, Education in Jacksonville, FL

Active since July 14, 2026
6050 MONCRIEF RD STE 8, JACKSONVILLE, FL 32209(904) 551-0110 Get Directions Write a Review

NPPES record added: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2026, Jul 14, 2026 (2 updates tracked since 2026).

About Xiii Moons Apothecary & Functional Wellness Center NPPES

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

XIII MOONS APOTHECARY & FUNCTIONAL WELLNESS CENTER (NPI 1780503516) is a healthcare organization registered as a nutrition, education in Jacksonville, Florida and active in the NPI registry since July 2026. The organization lists Kenya Bonner, Founder & Ceo, as its authorized official.

NPPES Registry Identity

NPI1780503516
Entity TypeOrganization
Primary Taxonomy133NN1002X
Legal Business NameXIII MOONS APOTHECARY & FUNCTIONAL WELLNESS CENTER
Location Address6050 MONCRIEF RD STE 8Jacksonville, FL 32209-2564
Mailing Address6050 Moncrief Rd Ste 8Jacksonville, FL 32209-2564 · (904) 551-0110
Phone(904) 551-0110
Organization SubpartNo
Authorized OfficialKenya BonnerFounder & Ceo · (904) 551-0110
Enumeration DateJuly 14, 2026
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1780503516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
6050 MONCRIEF RD STE 8, Jacksonville, FL 32209
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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.

MRS. KENYA BONNER BCHHP FNP
Nutritionist (Nutrition, Education)
6050 MONCRIEF RD STE 8
JACKSONVILLE, FL 32209
Duval County (904) 631-4801

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 Xiii Moons Apothecary & Functional Wellness Center's NPI number?

The NPI number for Xiii Moons Apothecary & Functional Wellness Center is 1780503516. It was assigned to this organization in the NPPES registry on July 14, 2026.

Where is Xiii Moons Apothecary & Functional Wellness Center located?

Xiii Moons Apothecary & Functional Wellness Center is located at 6050 Moncrief Rd Ste 8, Jacksonville, FL 32209. The listed phone number is (904) 551-0110.

What is Xiii Moons Apothecary & Functional Wellness Center's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Xiii Moons Apothecary & Functional Wellness Center was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.