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ISLAND DERMATOLOGY AND WELLNESS
NPI 1992499685
Dermatology in Rockledge, FL

Active since June 06, 2023CLIA 10D2288179 · Waiver
6470 US HIGHWAY 1, ROCKLEDGE, FL 32955(321) 693-6330 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2024, Jun 6, 2023 (2 updates tracked since 2023).

About Island Dermatology And Wellness NPPES

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

ISLAND DERMATOLOGY AND WELLNESS (NPI 1992499685), doing business as Island Dermatology And Wellness Llc, is a healthcare organization registered as a dermatology in Rockledge, Florida and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Kathleen Verpaele, Aprn, as its authorized official.

NPPES Registry Identity

NPI1992499685
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameISLAND DERMATOLOGY AND WELLNESS
Location Address6470 US HIGHWAY 1Rockledge, FL 32955-5747
Mailing Address6470 Us1Rockledge, FL 32955-5226 · (321) 693-6330
Phone(321) 693-6330
Organization SubpartNo
Authorized OfficialKathleen VerpaeleAprn · (321) 693-6330
Enumeration DateJune 6, 2023
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
✔ NPI 1992499685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
6470 US HIGHWAY 1, Rockledge, FL 32955
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Other Names 1

Former Legal Business NameIsland Dermatology And Wellness Llc

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 10D2288179

Island Dermatology & Wellness LLC · Rockledge, FL
Active · expires Aug 22, 2027
CLIA Number10D2288179
Laboratory TypePractitioner Other
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorNichole Venzara
Laboratory Phone(321) 425-2298
Laboratory LocationIsland Dermatology & Wellness LLC6470 Us Highway 1, Rockledge, FL 32955
CLIA data matches this NPI record on: Address
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 Island Dermatology And Wellness's NPI number?

The NPI number for Island Dermatology And Wellness is 1992499685. It was assigned to this organization in the NPPES registry on June 6, 2023. The provider was formerly known as Island Dermatology And Wellness LLC.

Where is Island Dermatology And Wellness located?

Island Dermatology And Wellness is located at 6470 Us Highway 1, Rockledge, FL 32955. The listed phone number is (321) 693-6330.

What is Island Dermatology And Wellness's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Island Dermatology And Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2288179) is associated with this NPI, valid through August 22, 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 Island Dermatology And Wellness was last updated on July 1, 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.