AVANTI WELLNESS CENTER
NPI 1528200029
Clinic/Center in St Augustine, FL

NPI Status: Active since March 30, 2009

Contact Information

3574 US 1 S
SUITE 113
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 797-3115
Fax: (904) 797-2915

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  • Organization
  • Clinic/Center

About AVANTI WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Avanti Wellness Center, a provider established in St Augustine, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1528200029 assigned on March 2009. The practitioner's primary taxonomy code is 261Q00000X with license number HCC7499 (FL). The provider is registered as an organization and their NPI record was last updated 14 years ago. Avanti Wellness Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Avanti Wellness Center. The authorized official of this NPI record is Mrs. Randi B Brazer Lcsw (Director Of Operations)

NPI
1528200029
Provider Legal Name
AVANTI WELLNESS CENTER FLLLP
Other Organization Name
AVANTI WELLNESS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3574 US 1 S SUITE 113 ST AUGUSTINE, FL 32086
Location Phone
(904) 797-3115
Location Fax
(904) 797-2915
Mailing Address
3574 US 1 S SUITE 113 ST AUGUSTINE, FL 32086
Mailing Phone
(904) 797-3115
Mailing Fax
(904) 797-2915
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2009
Last Update Date
08-18-2011
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
HCC7499
License State
FL
Taxonomy Description
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).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208D00000XAllopathic & Osteopathic Physicians

General Practice

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. RANDI B BRAZER LCSW

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(904) 797-3115

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
001136302MEDICAID (05)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528200029
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254840004
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 4 + 0 + 0 + 0 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1528200029 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194734905 CHRISTINA LYNN PAUL LMHC
Individual
Counselor (Mental Health)3574 US 1 S UNIT 113
ST AUGUSTINE, FL 32086
(904) 797-3115
1215179056AVANTI WELLNESS CENTER FLLLP
Organization
Community/Behavioral Health3574 US 1 S SUITE 113
ST AUGUSTINE, FL 32086
(904) 797-3115
1093033003AVANTI WELLNESS CENTER FLLLP
Organization
Clinical Medical Laboratory3574 US 1 S SUITE 113
ST AUGUSTINE, FL 32086
(904) 797-3115
1740572718MR. CURTIS L LAWRENCE LCSW
Individual
Social Worker (Clinical)3574 US 1 S SUITE 113
ST AUGUSTINE, FL 32086
(904) 797-3115
1851676019MISS DARLENE NICOLE AMESBURY MS
Individual
Counselor (Mental Health)3574 US 1 S SUITE 113
ST AUGUSTINE, FL 32086
(904) 797-3115
1770855694 MARY J ROBSON LCSW
Individual
Social Worker (Clinical)3574 US 1 S SUITE 113
ST AUGUSTINE, FL 32086
(904) 797-3115
1033307756 MELANIE LEIGH WEIS PHD
Individual
Counselor (Mental Health)3574 US 1 S
ST AUGUSTINE, FL 32086
(904) 417-7100
1215379862METRO TREATMENT OF FLORIDA, LP
Organization
Clinic/Center (Methadone)3574 US 1 S SUITES 101-104
ST AUGUSTINE, FL 32086
(904) 217-7161
1003303934 DANIELA TREATMENT PANET RAYMOND
Individual
Massage Therapist3574 US 1 S
ST AUGUSTINE, FL 32086
(904) 217-7161

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528200029, enumerated in the NPI registry as an "organization" on March 30, 2009

The provider is located at 3574 Us 1 S Suite 113 St Augustine, Fl 32086 and the phone number is (904) 797-3115

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 30, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.