Xiii Moons Apothecary & Functional Wellness Center
NPI 1780503516ActiveOrganization· Nutritionist, Nutrition, Education· Jacksonville, FL
Nutritionist, Nutrition, Education in Jacksonville, Florida, registered in NPPES in July 2026. The authorized official on file is Kenya Bonner, Founder & Ceo.
Overview
| NPI | 1780503516 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2026 |
| Last updated in NPPES | Jul 22, 2026 |
| Certified by provider | Jul 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist, Nutrition, Education Primary | 133NN1002X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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